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General NPI Number Information
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NPI Number | 1093653347
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Entity Type | Organization
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Legal Business Name | TRISTATE DME LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 12802 111TH AVE
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-1607
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Country | US
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Telephone | 516-474-6079
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Fax | 877-539-1653
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Provider Business Mailing Address
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Address Line | 12802 111TH AVE
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-1607
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Country | US
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Telephone | 516-474-6079
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Fax | 877-539-1653
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Authorized Official
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Title or Position | OWNER
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Name | NARESH MOOKLALL
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Credential |
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Telephone | 917-603-5161
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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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