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General NPI Number Information
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NPI Number | 1184463135
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Entity Type | Organization
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Legal Business Name | GREYS HEALTH
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 08/17/2024
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Provider Practice Location Address
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Address Line | 800 FOUNTAIN DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-0467
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Country | US
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Telephone | 760-410-6410
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Fax | 760-332-2479
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Provider Business Mailing Address
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Address Line | 330 WIER RD APT 1112
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-5506
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Country | US
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Telephone | 760-410-6410
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Fax | 760-332-2479
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABHINAV MARKUS, MD
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Credential | MD
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Telephone | 760-410-6410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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