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General NPI Number Information
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NPI Number | 1932357100
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Entity Type | Organization
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Legal Business Name | MC E & J INSPIRATION
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Dates
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Enumeration Date | 08/30/2008
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Last Update Date | 08/30/2008
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Provider Practice Location Address
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Address Line | 1614 FULTON ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11213-1124
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Country | US
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Telephone | 347-651-9295
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Fax |
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Provider Business Mailing Address
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Address Line | 527 HERKIMER ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11213-1126
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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 | JERMAINE A SMITH
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Credential |
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Telephone | 347-651-9295
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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 | NY
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