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General NPI Number Information
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NPI Number | 1447831268
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIVE HEALTH LLC
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 800 2ND AVE # 9A
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City | NEW YORK
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State | NY
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Zip | 10017-4709
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Country | US
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Telephone | 708-648-4812
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Fax | 646-437-5574
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Provider Business Mailing Address
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Address Line | 800 2ND AVE # 9A
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City | NEW YORK
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State | NY
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Zip | 10017-4709
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Country | US
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Telephone | 708-648-4812
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Fax | 646-437-5574
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Authorized Official
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Title or Position | CEO
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Name | MR. MANSINH CHAUDHARI
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Credential |
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Telephone | 708-648-4812
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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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