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General NPI Number Information
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NPI Number | 1144772476
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Entity Type | Organization
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Legal Business Name | MECHANICSVILLE CHEMIST LLC
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 8324 BELL CREEK RD STE 800
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-3849
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Country | US
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Telephone | 804-277-8938
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Fax | 804-277-4135
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Provider Business Mailing Address
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Address Line | 8324 BELL CREEK RD STE 800
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-3849
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Country | US
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Telephone | 757-635-8654
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Fax | 804-277-4135
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Authorized Official
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Title or Position | OWNER, PIC, AO
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Name | BHUPENDRA PATEL
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Credential |
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Telephone | 757-635-8654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201004740
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License Number State | VA
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