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General NPI Number Information
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NPI Number | 1740184662
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Entity Type | Organization
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Legal Business Name | GIS LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 3909 47TH AVE
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City | SUNNYSIDE
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State | NY
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Zip | 11104-4447
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Country | US
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Telephone | 718-673-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 4470 21ST ST STE 5005
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-5114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARWA ELHASSA
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Credential |
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Telephone | 718-673-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | NULL
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