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NPI 1972496982

NPI 1972496982 : GRITSMITH TRANSPORTATION LLC : QUEENSBURY, NY

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General NPI Number Information
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    NPI Number           |    1972496982
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRITSMITH TRANSPORTATION LLC 
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Dates
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    Enumeration Date     |    05/29/2025
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    Last Update Date     |    05/29/2025
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Provider Practice Location Address
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    Address Line         |    185 BIG BAY RD 
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    City                 |    QUEENSBURY
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    State                |    NY
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    Zip                  |    12804-7846
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    Country              |    US
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    Telephone            |    518-496-9889
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    447 BROADWAY FL 2 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-2562
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    Country              |    US
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    Telephone            |    518-496-9889
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KRYSTAL  SMITH 
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    Credential           |    
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    Telephone            |    518-496-9889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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