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General NPI Number Information
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NPI Number | 1497089866
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Entity Type | Organization
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Legal Business Name | NEW ERA MEDICAL
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 218-29 140TH AVE
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City | SPRINGFIELD GARDENS
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State | NY
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Zip | 11413-1141
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Country | US
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Telephone | 718-285-9345
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Fax | 866-929-5685
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Provider Business Mailing Address
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Address Line | 21829 140TH AVE
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City | SPRINGFIELD GARDENS
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State | NY
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Zip | 11413-2655
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Country | US
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Telephone | 718-285-9345
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Fax | 866-929-5685
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | KENSON ROBLEY
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Credential |
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Telephone | 718-285-9345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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