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General NPI Number Information
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NPI Number | 1326158528
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Entity Type | Organization
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Legal Business Name | BONES MANAGEMENT, INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 210 S GRAND AVE SUITE 116
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City | GLENDORA
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State | CA
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Zip | 91741-4205
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Country | US
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Telephone | 626-335-2300
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Fax | 626-914-0713
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Provider Business Mailing Address
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Address Line | 14241 FIRESTONE BLVD SUITE 320
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City | LA MIRADA
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State | CA
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Zip | 90638-5530
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Country | US
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Telephone | 562-407-9338
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Fax | 562-407-9340
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL GLOBERMAN
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Credential |
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Telephone | 562-407-9338
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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 | PHY34719
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License Number State | CA
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