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General NPI Number Information
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NPI Number | 1235979832
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Entity Type | Organization
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Legal Business Name | OMNICARE HEALTH LLC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 17 W JOHN ST
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City | HICKSVILLE
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State | NY
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Zip | 11801-1045
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Country | US
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Telephone | 516-935-2067
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Fax |
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Provider Business Mailing Address
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Address Line | 3487 WOODWARD AVE
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City | WANTAGH
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State | NY
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Zip | 11793-4031
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Country | US
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Telephone | 516-935-2067
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Fax |
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Authorized Official
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Title or Position | PT
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Name | DANIEL OEST
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Credential |
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Telephone | 516-330-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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