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General NPI Number Information
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NPI Number | 1487690970
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Entity Type | Organization
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Legal Business Name | BASS & LAWRENCE CORPORATION
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 261 GRANBY ST
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City | NORFOLK
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State | VA
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Zip | 23510-1813
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Country | US
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Telephone | 757-533-6566
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Fax | 757-533-6569
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Provider Business Mailing Address
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Address Line | 261 GRANBY ST
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City | NORFOLK
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State | VA
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Zip | 23510-1813
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Country | US
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Telephone | 757-533-6566
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Fax | 757-533-6569
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Authorized Official
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Title or Position | OWNER,PIC,AO
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Name | DAVID BASS
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Credential | RPH
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Telephone | 757-533-6566
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201003711
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License Number State | VA
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