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General NPI Number Information
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NPI Number | 1275859746
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Entity Type | Organization
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Legal Business Name | BELVEDERE ENTERPRISES INC.
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 5845 YORK ROAD
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City | BALTIMORE
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State | MD
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Zip | 21212
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Country | US
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Telephone | 410-323-1515
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Fax | 410-323-0784
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Provider Business Mailing Address
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Address Line | 5845 YORK ROAD
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City | BALTIMORE
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State | MD
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Zip | 21212
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Country | US
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Telephone | 410-323-1515
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Fax | 410-323-0784
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANWAR YOUSUF
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Credential | PHARMD
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Telephone | 410-323-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P05312
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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