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General NPI Number Information
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NPI Number | 1497617088
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Entity Type | Organization
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Legal Business Name | ASTRA MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1620 US HIGHWAY 22 E STE 100-22
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City | UNION
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State | NJ
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Zip | 07083-3414
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Country | US
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Telephone | 856-612-7872
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Fax | 856-792-7872
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Provider Business Mailing Address
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Address Line | 1620 US HIGHWAY 22 E STE 100-22
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City | UNION
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State | NJ
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Zip | 07083-3414
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Country | US
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Telephone | 856-612-7872
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Fax | 856-792-7872
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Authorized Official
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Title or Position | PRESIDENT
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Name | NUCHEM DOV JACOBOWITZ
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Credential |
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Telephone | 718-483-4467
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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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