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General NPI Number Information
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NPI Number | 1619647542
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Entity Type | Organization
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Legal Business Name | PHOP MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 1 HANCOCK CT
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-4610
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Country | US
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Telephone | 631-645-1867
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HANCOCK CT
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-4610
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Country | US
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Telephone | 631-645-1867
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Fax | 516-299-6829
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MR. PARKER SHAPIRO
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Credential |
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Telephone | 631-645-1867
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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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