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General NPI Number Information
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NPI Number | 1730569666
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Entity Type | Organization
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Legal Business Name | HEALTHY LIVING DME INC
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 4243 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11355-4721
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Country | US
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Telephone | 929-329-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 4243 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11355-4721
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Country | US
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Telephone | 929-329-0011
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Fax | 929-329-0018
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Authorized Official
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Title or Position | PRESIDENT
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Name | WEN ZHI XIE
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Credential |
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Telephone | 929-329-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 035530
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License Number State | NY
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Taxonomy #2
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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 | NY
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