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General NPI Number Information
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NPI Number | 1629248570
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Entity Type | Organization
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Legal Business Name | BLUE NOTE PARTNERS LLC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 916 S VALLEY VIEW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107-4416
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Country | US
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Telephone | 702-258-7751
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Fax | 702-258-7753
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Provider Business Mailing Address
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Address Line | 3687 OLD SANTA RITA RD SUITE 202
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City | PLEASANTON
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State | CA
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Zip | 94588-3469
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Country | US
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Telephone | 925-730-0081
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Fax | 866-557-5337
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. GLENN S ROLDAN
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Credential | RPSGT
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Telephone | 925-730-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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