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General NPI Number Information
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NPI Number | 1326653916
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Entity Type | Organization
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Legal Business Name | VIRGIN ISLANDS PROFESSIONAL CARE LLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 9150 ESTATE THOMAS STE 203
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City | ST THOMAS
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State | VI
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Zip | 00802-2612
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Country | US
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Telephone | 340-727-0220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10650
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City | ST THOMAS
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State | VI
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Zip | 00801-3650
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY BOWEN
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Credential | RN
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Telephone | 340-727-0220
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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