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General NPI Number Information
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NPI Number | 1922202316
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Entity Type | Organization
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Legal Business Name | I & J SUPPLIES INC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 5377 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11203-6704
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Country | US
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Telephone | 718-451-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 5377 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11203-6704
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Country | US
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Telephone | 718-451-1010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISRAEL NEIMAN
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Credential |
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Telephone | 719-451-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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