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General NPI Number Information
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NPI Number | 1922207901
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Entity Type | Organization
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Legal Business Name | A-1 SURGICAL AND MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 114 7TH ST
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City | GARDEN CITY
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State | NY
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Zip | 11530-5798
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Country | US
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Telephone | 516-739-1392
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E JEFFERSON AVE
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City | MINEOLA
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State | NY
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Zip | 11501-3123
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Country | US
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Telephone | 516-741-1087
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED ORTHOTIST
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Name | ANTHONY P CORSENTINO
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Credential |
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Telephone | 516-739-1392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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