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General NPI Number Information
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NPI Number | 1518333228
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Entity Type | Organization
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Legal Business Name | HUMANITIES MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 100 STEVENS AVENUE
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City | MOUNT VERNON
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State | NY
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Zip | 10550
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Country | US
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Telephone | 914-699-3900
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Fax | 914-699-3911
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Provider Business Mailing Address
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Address Line | 100 STEVENS AVENUE
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City | MOUNT VERNON
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State | NY
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Zip | 10550
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Country | US
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Telephone | 914-699-3900
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Fax | 914-699-3911
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Authorized Official
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Title or Position | OWNER
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Name | EMMANUEL L IDIMA
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Credential |
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Telephone | 646-548-7658
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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 | 322B00000X
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4800460
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License Number State | NY
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