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General NPI Number Information
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NPI Number | 1689861619
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Entity Type | Organization
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Legal Business Name | EISING SOUTH INC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 213 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10011-1605
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Country | US
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Telephone | 212-744-1270
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Fax | 212-937-9612
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Provider Business Mailing Address
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Address Line | 213 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10011-1605
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Country | US
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Telephone | 212-744-1270
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Fax | 212-937-9612
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Authorized Official
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Title or Position | VP
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Name | DR. JOHN GUERRA
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Credential |
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Telephone | 212-737-0727
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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 | 004647-1
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License Number State | NY
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