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General NPI Number Information
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NPI Number | 1356005946
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Entity Type | Organization
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Legal Business Name | BIONX PHARMACEUTICAL LLC
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 10950 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77099-1716
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Country | US
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Telephone | 281-513-2529
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 SUNRISE HARBOR LN
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City | PEARLAND
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State | TX
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Zip | 77584-3247
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Country | US
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Telephone | 281-513-2529
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | PETER MATHENGE
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Credential | PHAMD
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Telephone | 281-513-2529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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