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General NPI Number Information
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NPI Number | 1861316846
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Entity Type | Organization
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Legal Business Name | RIDGE GOODS CORP
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 73 MARKET ST
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City | YONKERS
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State | NY
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Zip | 10710-7616
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Country | US
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Telephone | 914-414-0069
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Fax |
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Provider Business Mailing Address
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Address Line | 73 MARKET ST STE 376
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City | YONKERS
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State | NY
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Zip | 10710-7619
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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 | OWNER
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Name | ELBAJANE MARCELINO
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Credential |
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Telephone | 914-414-0069
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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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