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General NPI Number Information
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NPI Number | 1992192793
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Entity Type | Organization
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Legal Business Name | ALPHA COMMUNICATIONS OF LI INC
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 953 SOUTHERN BLVD SUITE 204
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City | BRONX
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State | NY
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Zip | 10459
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Country | US
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Telephone | 718-542-0472
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Fax | 718-709-7652
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Provider Business Mailing Address
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Address Line | 78-02 65 ST
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City | GLENDALE
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State | NY
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Zip | 11385
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Country | US
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Telephone | 917-304-7433
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Fax | 718-709-7652
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Authorized Official
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Title or Position | DME VENDOR
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Name | JOSE LUIS SANTAMARA
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Credential |
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Telephone | 917-304-7433
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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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