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General NPI Number Information
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NPI Number | 1831376458
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Entity Type | Organization
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Legal Business Name | SMG MEDIQUIP, LLC
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 4792 HEMPSTEAD TPKE
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City | FARMINGDALE
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State | NY
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Zip | 11735-2030
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Country | US
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Telephone | 516-404-4549
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Fax | 866-835-7474
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Provider Business Mailing Address
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Address Line | 18 N PERSHING AVE
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City | BETHPAGE
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State | NY
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Zip | 11714-3610
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Country | US
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Telephone | 516-404-4549
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Fax | 866-835-7474
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BART A GRIGGS
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Credential |
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Telephone | 516-404-4549
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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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