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NPI 1568222644

NPI 1568222644 : VIDAS DME LLC : PAOLI, PA

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General NPI Number Information
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    NPI Number           |    1568222644
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIDAS DME LLC 
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Dates
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    Enumeration Date     |    03/19/2024
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    Last Update Date     |    02/11/2026
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Provider Practice Location Address
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    Address Line         |    63 CHESTNUT RD STE 3 
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    City                 |    PAOLI
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    State                |    PA
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    Zip                  |    19301-1535
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    Country              |    US
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    Telephone            |    800-550-0035
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    Fax                  |    800-550-0035
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Provider Business Mailing Address
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    Address Line         |    63 CHESTNUT RD STE 3 
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    City                 |    PAOLI
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    State                |    PA
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    Zip                  |    19301-1535
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    Country              |    US
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    Telephone            |    800-550-0035
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    Fax                  |    800-550-0035
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MAJID  NIAMAT 
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    Credential           |    PRESIDENT
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    Telephone            |    800-550-0035
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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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