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General NPI Number Information
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NPI Number | 1619255676
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Entity Type | Organization
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Legal Business Name | TOP DME LLC
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 243 BOYLE RD LOWER LEVEL
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City | SELDEN
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State | NY
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Zip | 11784-1929
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Country | US
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Telephone | 631-320-1245
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Fax | 631-320-1248
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Provider Business Mailing Address
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Address Line | 243 BOYLE RD LOWER LEVEL
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City | SELDEN
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State | NY
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Zip | 11784-1929
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Country | US
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Telephone | 631-320-1245
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Fax | 631-320-1248
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MR. MARCELLO SOZIO
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Credential |
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Telephone | 631-948-0181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State | NY
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