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General NPI Number Information
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NPI Number | 1437975307
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Entity Type | Organization
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Legal Business Name | SB VENTURE LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 3806 E GRANT RD
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City | TUCSON
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State | AZ
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Zip | 85716-2943
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Country | US
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Telephone | 520-216-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 3233 S MCCLINTOCK DR
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City | TEMPE
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State | AZ
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Zip | 85282-5602
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SHIVAM HARESH BHANVADIA
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Credential |
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Telephone | 480-414-2568
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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 | 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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