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General NPI Number Information
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NPI Number | 1134455777
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Entity Type | Organization
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Legal Business Name | BLMC, ENTERPRISES
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Dates
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Enumeration Date | 11/01/2009
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Last Update Date | 11/01/2009
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Provider Practice Location Address
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Address Line | 3137 SWETZER RD STE A
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City | LOOMIS
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State | CA
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Zip | 95650-7611
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Country | US
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Telephone | 916-660-9031
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Fax | 916-660-9035
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Provider Business Mailing Address
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Address Line | 3137 SWETZER RD STE A
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City | LOOMIS
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State | CA
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Zip | 95650-7611
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Country | US
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Telephone | 916-660-9031
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Fax | 916-660-9035
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN PLOTNER
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Credential |
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Telephone | 415-606-4023
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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 | 50067
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License Number State | CA
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