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General NPI Number Information
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NPI Number | 1376897744
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Entity Type | Organization
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Legal Business Name | BELLEPLAINE PHARMACY, INC.
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 2703 FREDERICK DOUGLASS BLVD
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City | NEW YORK
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State | NY
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Zip | 10030-1246
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Country | US
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Telephone | 212-243-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 379 HANCOCK ST APT 8
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City | BROOKLYN
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State | NY
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Zip | 11216-2440
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Country | US
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Telephone | 347-693-8355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JOAN M, MERCADO
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Credential |
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Telephone | 347-693-8355
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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 |
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License Number State |
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