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General NPI Number Information
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NPI Number | 1245781517
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Entity Type | Organization
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Legal Business Name | BENEFIT VERIFICATION GROUP LLC
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 3563 NW 43RD PL
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33309-4101
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Country | US
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Telephone | 844-215-1591
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Fax | 844-215-1592
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Provider Business Mailing Address
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Address Line | 3563 NW 43RD PL
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33309-4101
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Country | US
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Telephone | 844-215-1591
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Fax | 844-215-1592
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Authorized Official
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Title or Position | OWNER
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Name | ERICA NICOLE ROLLINS
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Credential |
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Telephone | 844-215-1591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | L16000183583
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License Number State | FL
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