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General NPI Number Information
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NPI Number | 1164416392
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Entity Type | Individual
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Provider Name | BRADLEY WILLIAM VANRIPER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 1170 E UNIVERSITY AVE
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City | GAINESVILLE
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State | FL
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Zip | 32641-5614
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Country | US
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Telephone | 352-380-0131
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Fax | 352-380-0223
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Provider Business Mailing Address
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Address Line | 3830 NW 35TH PL
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City | GAINESVILLE
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State | FL
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Zip | 32606-8120
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Country | US
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Telephone | 352-371-9782
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS34850
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License Number State | FL
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