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General NPI Number Information
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NPI Number | 1770189946
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Entity Type | Organization
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Legal Business Name | PRO RECOVERY SERVICES INC
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 8008 GRAND AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4131
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Country | US
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Telephone | 718-210-5090
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Fax | 718-819-1120
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Provider Business Mailing Address
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Address Line | 8008 GRAND AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4131
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Country | US
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Telephone | 718-210-5090
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Fax | 718-819-1120
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAKHMIN USTAYEV
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Credential |
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Telephone | 718-210-5090
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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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