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General NPI Number Information
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NPI Number | 1649807454
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Entity Type | Organization
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Legal Business Name | GROVER MED LLC
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 100 NEWBRIDGE RD STE 6
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City | HICKSVILLE
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State | NY
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Zip | 11801-3948
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Country | US
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Telephone | 516-882-7473
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Fax | 516-530-9478
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Provider Business Mailing Address
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Address Line | 1077 IRIS PL
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City | WESTBURY
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State | NY
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Zip | 11590-5610
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Country | US
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Telephone | 917-299-6051
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RAVI GROVER
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Credential |
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Telephone | 516-882-7473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225CA2500X
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Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #5
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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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