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General NPI Number Information
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NPI Number | 1598705386
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Entity Type | Organization
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Legal Business Name | EMPIRE HOME INFUSION SERVICE INC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 10 BLACKSMITH DR SUITE 2
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City | MALTA
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State | NY
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Zip | 12020-4428
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Country | US
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Telephone | 518-899-8103
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Fax | 518-899-2968
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Provider Business Mailing Address
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Address Line | 10 BLACKSMITH DR SUITE 2
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City | MALTA
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State | NY
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Zip | 12020-4428
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Country | US
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Telephone | 518-899-8103
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Fax | 518-899-2968
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Authorized Official
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Title or Position | VP/DIRECTOR
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Name | MRS. MICHELLE T MAZZACCO
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Credential |
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Telephone | 518-270-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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