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General NPI Number Information
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NPI Number | 1003330085
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Entity Type | Organization
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Legal Business Name | VISU LLC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2334 N 29TH ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19132-3409
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Country | US
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Telephone | 215-309-6866
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Fax | 215-309-6865
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Provider Business Mailing Address
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Address Line | 2334 N 29TH ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19132-3409
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Country | US
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Telephone | 215-309-6866
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Fax | 215-309-6865
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Authorized Official
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Title or Position | MEMBER
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Name | VIRGINIA EZEIFE
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Credential | RPH
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Telephone | 215-309-3866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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