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General NPI Number Information
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NPI Number | 1396585865
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Entity Type | Organization
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Legal Business Name | XRAY HOME 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 | 541 E 20TH ST APT 13D
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City | NEW YORK
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State | NY
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Zip | 10010-7616
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Country | US
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Telephone | 332-234-3822
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Fax |
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Provider Business Mailing Address
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Address Line | 541 E 20TH ST APT 13D
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City | NEW YORK
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State | NY
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Zip | 10010-7616
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Country | US
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Telephone | 332-234-3822
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Fax |
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Authorized Official
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Title or Position | XRAY TEC
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Name | STEVE GALLAGHER
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Credential |
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Telephone | 201-560-3369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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