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General NPI Number Information
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NPI Number | 1164589560
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Entity Type | Organization
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Legal Business Name | LE GRAND ASSOCIATES INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 3800 POPLAR HILL RD SUITE E
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5811
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Country | US
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Telephone | 757-484-4900
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Fax | 757-673-4722
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Provider Business Mailing Address
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Address Line | 590 REED RD STE 7
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City | BROOMALL
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State | PA
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Zip | 19008-3654
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Country | US
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Telephone | 215-496-1307
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Fax | 215-496-1693
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH A LEGRAND JR.
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Credential |
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Telephone | 215-496-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 66611
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License Number State | PA
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