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General NPI Number Information
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NPI Number | 1821129628
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Entity Type | Organization
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Legal Business Name | NORTHEAST HOME MEDICAL SUPPLIES INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 02/11/2011
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Provider Practice Location Address
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Address Line | 15 N LINCOLN DR
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City | CAIRO
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State | NY
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Zip | 12413-2606
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Country | US
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Telephone | 518-622-8108
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Fax | 518-966-4813
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Provider Business Mailing Address
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Address Line | 15 N LINCOLN DR
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City | CAIRO
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State | NY
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Zip | 12413-2606
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Country | US
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Telephone | 518-622-8108
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Fax | 518-966-4813
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT A VINELLI
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Credential |
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Telephone | 518-622-8108
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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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