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General NPI Number Information
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NPI Number | 1427227560
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Entity Type | Organization
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Legal Business Name | SUPPLY SOLUTIONS A DIVISION OF NORTHEAST MOBILITY CENTER
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 115 EVERETT RD
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City | ALBANY
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State | NY
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Zip | 12205-1407
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Country | US
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Telephone | 518-438-3646
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Fax | 518-453-0919
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Provider Business Mailing Address
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Address Line | 115 EVERETT RD
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City | ALBANY
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State | NY
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Zip | 12205-1407
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Country | US
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Telephone | 518-438-3646
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Fax | 518-453-0919
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM ECKERT
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Credential |
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Telephone | 518-438-3646
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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 | NY
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