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General NPI Number Information
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NPI Number | 1124361589
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Entity Type | Organization
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Legal Business Name | NORTH BEACH ENTERPRISES, INC.
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 3271B MAIN ST.
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City | EXMORE
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State | VA
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Zip | 23350-3901
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Country | US
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Telephone | 757-442-7982
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Fax | 757-442-7985
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Provider Business Mailing Address
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Address Line | PO BOX 1155
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City | EXMORE
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State | VA
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Zip | 23350-1155
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Country | US
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Telephone | 757-442-7982
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Fax | 757-442-7985
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DARREN BUSS
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Credential |
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Telephone | 757-965-3036
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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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