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General NPI Number Information
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NPI Number | 1801608047
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Entity Type | Organization
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Legal Business Name | EASTOAK MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 85 COMMERCE ST UNIT A
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City | GLASTONBURY
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State | CT
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Zip | 06033-2312
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Country | US
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Telephone | 860-663-4785
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 380308
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City | EAST HARTFORD
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State | CT
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Zip | 06138-0308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JOSH STRICKLAND
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Credential |
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Telephone | 860-269-7643
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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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