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General NPI Number Information
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NPI Number | 1235202649
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/22/2009
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Provider Practice Location Address
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Address Line | 142 N KING ST ROUTE 32
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City | NORTHAMPTON
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State | MA
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Zip | 01060-1120
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Country | US
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Telephone | 413-320-4665
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Fax | 413-320-4669
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Provider Business Mailing Address
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Address Line | 142 N KING ST ROUTE 32
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City | NORTHAMPTON
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State | MA
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Zip | 01060-1120
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Country | US
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Telephone | 413-320-4665
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Fax | 413-320-4669
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Authorized Official
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Title or Position | CO. PRESIDENT
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Name | HERIBERTO TAPANES
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Credential | CPHT
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Telephone | 413-320-4665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MA
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