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General NPI Number Information
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NPI Number | 1629383278
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Entity Type | Organization
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Legal Business Name | BAM HEALTHCARE ABERDEEN LLC
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 8276 S JOG RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2938
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Country | US
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Telephone | 561-734-8010
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Fax | 561-734-8032
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Provider Business Mailing Address
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Address Line | 8276 S JOG RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2938
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Country | US
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Telephone | 561-734-8010
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Fax | 561-734-8032
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ROBIN WIDROFF
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Credential |
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Telephone | 561-734-8010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24789
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License Number State | FL
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Taxonomy #4
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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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