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General NPI Number Information
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NPI Number | 1427698257
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Entity Type | Organization
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Legal Business Name | MEDVENTURE PARTNERS LLC
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 4000 MITCHELLVILLE RD STE 406
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City | BOWIE
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State | MD
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Zip | 20716-3104
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Country | US
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Telephone | 443-899-4775
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Fax | 443-899-4776
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Provider Business Mailing Address
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Address Line | 1912 LIBERTY RD SPC 21
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City | SYKESVILLE
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State | MD
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Zip | 21784-6690
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Country | US
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Telephone | 443-899-4775
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Fax | 443-899-4776
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Authorized Official
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Title or Position | PHARMACIST
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Name | KUNJAL PATEL
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Credential | PHARM D
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Telephone | 215-990-4540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 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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