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NPI 1891979498

NPI 1891979498 : EAZYLIFT ALBANY, LLC : LATHAM, NY

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General NPI Number Information
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    NPI Number           |    1891979498
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    Entity Type          |    Organization 
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    Legal Business Name  |    EAZYLIFT ALBANY, LLC 
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Dates
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    Enumeration Date     |    12/19/2007
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    Last Update Date     |    04/22/2010
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Provider Practice Location Address
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    Address Line         |    836 TROY SCHENECTADY RD 
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    City                 |    LATHAM
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    State                |    NY
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    Zip                  |    12110-2424
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    Country              |    US
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    Telephone            |    518-393-2274
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    Fax                  |    888-841-5368
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Provider Business Mailing Address
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    Address Line         |    836 TROY SCHENECTADY RD 
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    City                 |    LATHAM
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    State                |    NY
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    Zip                  |    12110-2424
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    Country              |    US
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    Telephone            |    518-393-2274
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    Fax                  |    888-841-5368
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Authorized Official
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    Title or Position    |    OPERATING MEMBER
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    Name                 |    MS. THERESA J FARRIGAN 
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    Credential           |    
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    Telephone            |    518-393-2274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BN1400X
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    Taxonomy Name        |    Nursing Facility Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    48-34960 0
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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