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General NPI Number Information
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NPI Number | 1124580998
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Entity Type | Organization
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Legal Business Name | BVM ENTERPRISE LLC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 1941 STREET ROAD
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City | BENSALEM
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State | PA
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Zip | 19020
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Country | US
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Telephone | 215-638-0000
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Fax | 215-638-0001
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Provider Business Mailing Address
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Address Line | 1941 STREET RD
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City | BENSALEM
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State | PA
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Zip | 19020-4380
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Country | US
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Telephone | 215-638-0000
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Fax | 215-638-0001
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Authorized Official
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Title or Position | PHARMACIST
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Name | SIMA PATEL
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Credential | PHARMD
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Telephone | 215-638-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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