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General NPI Number Information
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NPI Number | 1831397256
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Entity Type | Organization
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Legal Business Name | E GRAM SOULTIONS INC
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 4315 LUDGATE ST # C
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City | LUMBERTON
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State | NC
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Zip | 28358-2460
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Country | US
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Telephone | 910-738-1066
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Fax | 910-739-7657
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Provider Business Mailing Address
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Address Line | 4315 LUDGATE ST # C
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City | LUMBERTON
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State | NC
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Zip | 28358-2460
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Country | US
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Telephone | 910-738-1066
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Fax | 910-739-7657
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Authorized Official
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Title or Position | OWNER
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Name | DEIRDRE R HENDRIX
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Credential | M. ED., CCC-SLP
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Telephone | 919-606-4559
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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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