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General NPI Number Information
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NPI Number | 1487007233
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Entity Type | Organization
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Legal Business Name | BLUE FIG LLC
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1 E ERIE ST STE 101
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City | CHICAGO
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State | IL
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Zip | 60611-2740
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Country | US
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Telephone | 773-692-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 1 E ERIE ST STE 101
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City | CHICAGO
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State | IL
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Zip | 60611-2740
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Country | US
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Telephone | 773-692-7682
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Fax | 833-285-9811
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Authorized Official
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Title or Position | AO
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Name | WILLENA SMITH
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Credential |
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Telephone | 773-692-7682
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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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