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General NPI Number Information
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NPI Number | 1912592833
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Entity Type | Organization
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Legal Business Name | ELDON MEDTECH LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 301 MILL RD # U-11
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City | HEWLETT
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State | NY
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Zip | 11557-1291
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Country | US
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Telephone | 347-318-1600
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Fax | 347-706-3898
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Provider Business Mailing Address
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Address Line | 301 MILL RD # U-11
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City | HEWLETT
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State | NY
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Zip | 11557-1291
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Country | US
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Telephone | 347-318-1600
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Fax | 347-706-3898
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS BRANSKY
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Credential |
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Telephone | 347-804-5723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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