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General NPI Number Information
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NPI Number | 1932868791
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Entity Type | Organization
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Legal Business Name | DME AND CRYO L.L.C
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 523 E 72ND ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10021-4099
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Country | US
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Telephone | 646-628-4243
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Fax |
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Provider Business Mailing Address
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Address Line | 523 E 72ND ST
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City | NEW YORK
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State | NY
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Zip | 10021-4099
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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 | ORTHOTIC FITTER
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Name | ARNOLD DOUGLAS CHAVIS
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Credential |
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Telephone | 646-628-4243
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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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