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General NPI Number Information
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NPI Number | 1477540482
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Entity Type | Organization
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Legal Business Name | DELAWARE VALLEY MEDICAL SUPPLY
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 159 FAIR ST
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City | MARGARETVILLE
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State | NY
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Zip | 12455-2822
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Country | US
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Telephone | 718-796-7555
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Fax | 516-566-2395
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Provider Business Mailing Address
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Address Line | PO BOX 847
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City | MARGARETVILLE
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State | NY
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Zip | 12455-0847
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Country | US
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Telephone | 718-796-7555
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Fax | 516-566-2395
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RACHEL LEBOWICZ
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Credential |
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Telephone | 718-796-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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