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General NPI Number Information
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NPI Number | 1972255495
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Entity Type | Organization
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Legal Business Name | RECOVERWEAR LLC
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 334 N. 5TH STREET
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City | NEWARK
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State | NJ
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Zip | 07107
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Country | US
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Telephone | 718-637-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 16 SUMNER PL STE 402
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City | BROOKLYN
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State | NY
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Zip | 11206-4110
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Country | US
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Telephone | 718-637-7770
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRIAM LEBOVITS
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Credential |
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Telephone | 718-637-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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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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