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General NPI Number Information
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NPI Number | 1942621511
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Entity Type | Organization
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Legal Business Name | DOC AT HOME MEDICAL, P.C.
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 535 5TH AVE FL 4
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City | NEW YORK
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State | NY
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Zip | 10017-8020
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Country | US
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Telephone | 888-496-5115
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Fax | 516-612-4975
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Provider Business Mailing Address
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Address Line | 535 5TH AVE FL 4
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City | NEW YORK
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State | NY
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Zip | 10017-8020
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Country | US
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Telephone | 888-496-5115
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Fax | 866-223-7072
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. REGINALD D HUGHES
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Credential | MD
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Telephone | 855-865-9697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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