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General NPI Number Information
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NPI Number | 1801240833
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Entity Type | Organization
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Legal Business Name | LDU THERAPY, INC
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 5847 FRANCIS LEWIS BLVD SUITE 14
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City | BAYSIDE
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State | NY
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Zip | 11364-1698
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Country | US
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Telephone | 888-500-2396
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Fax |
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Provider Business Mailing Address
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Address Line | 5847 FRANCIS LEWIS BLVD SUITE 14
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City | BAYSIDE
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State | NY
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Zip | 11364-1698
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Country | US
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Telephone | 888-500-2396
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LDU THERAPY
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Credential |
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Telephone | 888-500-2396
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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 | 2025764
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License Number State | NY
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