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General NPI Number Information
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NPI Number | 1407512395
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Entity Type | Organization
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Legal Business Name | WELLCARE DME INC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 197 CEDAR LN STE 2
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City | TEANECK
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State | NJ
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Zip | 07666-4300
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Country | US
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Telephone | 201-500-4050
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Fax | 877-228-1780
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Provider Business Mailing Address
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Address Line | 197 CEDAR LN STE 2
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City | TEANECK
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State | NJ
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Zip | 07666-4300
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Country | US
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Telephone | 877-800-1219
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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. DAVID ROZNER
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Credential |
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Telephone | 516-850-7699
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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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