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General NPI Number Information
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NPI Number | 1952115156
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Entity Type | Organization
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Legal Business Name | VERNIXOR RIDGE
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 201 WRIGHT ST
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City | WESTBURY
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State | NY
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Zip | 11590-3533
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Country | US
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Telephone | 347-825-1759
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Fax |
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Provider Business Mailing Address
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Address Line | 201 WRIGHT ST
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City | WESTBURY
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State | NY
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Zip | 11590-3533
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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 | BILLING MANAGER
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Name | SHAHMEER NAZIM
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Credential |
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Telephone | 347-825-1759
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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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