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General NPI Number Information
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NPI Number | 1427643584
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Entity Type | Organization
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Legal Business Name | GB HEALTH, LLC
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 1300 WASHINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3626
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Country | US
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Telephone | 610-256-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 537 N 3RD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2936
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Country | US
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Telephone | 610-256-8235
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Fax |
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Authorized Official
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Title or Position | CORPORATE COUNSEL
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Name | NAT FLANDREAU
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Credential |
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Telephone | 610-256-8235
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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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