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General NPI Number Information
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NPI Number | 1710983382
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Entity Type | Organization
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Legal Business Name | SBL HOME MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 52 ENTER LN
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City | ISLANDIA
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State | NY
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Zip | 11749-4811
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Country | US
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Telephone | 631-941-0777
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Fax | 631-941-0780
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Provider Business Mailing Address
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Address Line | 52 ENTER LN
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City | ISLANDIA
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State | NY
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Zip | 11749-4811
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Country | US
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Telephone | 631-941-0777
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Fax | 631-941-0780
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL LANE
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Credential |
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Telephone | 631-941-0777
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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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