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General NPI Number Information
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NPI Number | 1780393280
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Entity Type | Organization
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Legal Business Name | GENMED LLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 685 CITADEL DR E STE 290-17
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5314
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Country | US
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Telephone | 253-407-4421
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Fax |
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Provider Business Mailing Address
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Address Line | 685 CITADEL DR E STE 290-17
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5314
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Country | US
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Telephone | 253-407-4421
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ARUNDHOTI MOHANTY
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Credential |
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Telephone | 855-589-7644
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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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