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General NPI Number Information
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NPI Number | 1477457620
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Entity Type | Organization
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Legal Business Name | DIAMOND LAB & SUPPLIES INC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 9505 LEFFERTS BLVD
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1249
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Country | US
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Telephone | 713-333-8995
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 S MAIN ST STE 500
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City | KALISPELL
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State | MT
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Zip | 59901-1498
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Country | US
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Telephone | 713-333-8995
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SYED MUHAMMAD AHSAN RAZA RIZVI
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Credential |
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Telephone | 713-333-8995
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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 | NULL
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