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General NPI Number Information
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NPI Number | 1639151103
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Entity Type | Organization
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Legal Business Name | MEDICARE SUPPLIES PLUS INC
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 174C MEACHAM AVE
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City | ELMONT
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State | NY
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Zip | 11003-2632
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Country | US
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Telephone | 516-295-2092
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Fax | 516-295-2178
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Provider Business Mailing Address
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Address Line | 174C MEACHAM AVE
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City | ELMONT
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State | NY
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Zip | 11003-2632
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Country | US
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Telephone | 516-295-2092
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Fax | 516-295-2178
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | MR. JUDAH DAVID WEINBERG
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Credential |
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Telephone | 516-295-2092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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