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General NPI Number Information
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NPI Number | 1376993758
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Entity Type | Organization
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Legal Business Name | EMBRACE MEDICAL SUPPLY
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 8544 102ND ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1120
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Country | US
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Telephone | 929-264-8943
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Fax |
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Provider Business Mailing Address
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Address Line | 8544 102ND ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1120
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Country | US
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Telephone | 929-264-8943
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VANNESSA MONTES
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Credential |
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Telephone | 929-264-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 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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