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General NPI Number Information
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NPI Number | 1326419227
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Entity Type | Organization
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Legal Business Name | CONFIDENTIAL HEALTH
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Dates
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Enumeration Date | 10/18/2015
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Last Update Date | 10/18/2015
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Provider Practice Location Address
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Address Line | 1475 LANGDON BLVD
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3604
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Country | US
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Telephone | 516-763-1920
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 632
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11571-0632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SAMUEL DEDE
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Credential |
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Telephone | 516-763-1920
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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 |
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