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General NPI Number Information
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NPI Number | 1376176735
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Entity Type | Organization
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Legal Business Name | BPTN INVESTMENT SERIES LLC
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 7025 FRY RD STE 400
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City | CYPRESS
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State | TX
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Zip | 77433-8152
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Country | US
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Telephone | 888-300-8743
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Fax | 888-512-6266
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Provider Business Mailing Address
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Address Line | 17515 SPRING CYPRESS RD # 256
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City | CYPRESS
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State | TX
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Zip | 77429-2688
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Country | US
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Telephone | 888-300-8743
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Fax | 888-512-6266
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Authorized Official
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Title or Position | MEMBER MANAGED
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Name | MR. BRYAN THANH PHAN
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Credential | RPH
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Telephone | 408-661-3881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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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