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NPI 1356093967

NPI 1356093967 : HST DME CARE INC : DEER PARK, NY

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General NPI Number Information
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    NPI Number           |    1356093967
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    Entity Type          |    Organization 
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    Legal Business Name  |    HST DME CARE INC 
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Dates
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    Enumeration Date     |    01/25/2022
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    Last Update Date     |    01/27/2022
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Provider Practice Location Address
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    Address Line         |    44 W JEFRYN BLVD 
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    City                 |    DEER PARK
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    State                |    NY
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    Zip                  |    11729-4723
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    Country              |    US
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    Telephone            |    631-992-7131
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    44 W JEFRYN BLVD STE Q4 
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    City                 |    DEER PARK
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    State                |    NY
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    Zip                  |    11729-4721
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    Country              |    US
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    Telephone            |    631-992-7131
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. MUHAMMAD T KHAN 
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    Credential           |    
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    Telephone            |    929-339-3132
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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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