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General NPI Number Information
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NPI Number | 1568972636
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Entity Type | Organization
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Legal Business Name | BESTMED SUPPLY
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 666 PLAINSBORO RD STE 1J
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3003
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Country | US
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Telephone | 801-510-8286
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Fax |
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Provider Business Mailing Address
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Address Line | 666 PLAINSBORO RD STE 1J
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YUDELKA CASTRO STEVENS
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Credential |
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Telephone | 915-219-5200
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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 | 0450199870
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License Number State | NJ
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