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General NPI Number Information
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NPI Number | 1881301018
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Entity Type | Organization
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Legal Business Name | GRAMATAN HEALTH SUPPLIES LLC
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 504 GRAMATAN AVE STE 100
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City | MOUNT VERNON
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State | NY
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Zip | 10552-3009
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Country | US
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Telephone | 866-786-2624
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Fax | 866-242-6337
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Provider Business Mailing Address
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Address Line | 145 PALISADE ST STE LL-11
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1695
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Country | US
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Telephone | 914-231-6385
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Fax | 866-598-4593
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Authorized Official
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Title or Position | COO
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Name | VIKRAM RAVIKUMAR
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Credential |
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Telephone | 914-479-5108
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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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