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General NPI Number Information
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NPI Number | 1518691633
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Entity Type | Organization
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Legal Business Name | RPVRW HEALTHCARE,LLC
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 914 N MAIN ST
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City | WOODRUFF
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State | SC
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Zip | 29388-9023
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Country | US
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Telephone | 864-670-9471
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Fax | 864-484-8643
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Provider Business Mailing Address
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Address Line | 914 N MAIN ST
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City | WOODRUFF
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State | SC
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Zip | 29388-9023
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Country | US
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Telephone | 864-670-9471
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Fax | 864-484-8643
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Authorized Official
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Title or Position | CEO
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Name | BHAVESH PATEL
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Credential | RPH
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Telephone | 864-670-9471
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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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