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General NPI Number Information
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NPI Number | 1598698987
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Entity Type | Organization
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Legal Business Name | BPTRX LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 679 FAIRFIELD AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06604-3906
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Country | US
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Telephone | 203-690-1048
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 WHITNEY AVE # 265
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City | HAMDEN
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State | CT
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Zip | 06518-2353
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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 | MANAGING MEMBER
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Name | JOHNATHAN DUONG
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Credential |
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Telephone | 203-278-2417
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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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