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General NPI Number Information
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NPI Number | 1649663899
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Entity Type | Organization
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Legal Business Name | BLISS SPECIALTY PHARMACY INC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 972 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-3002
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Country | US
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Telephone | 212-666-4800
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Fax | 212-666-1145
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Provider Business Mailing Address
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Address Line | 972 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-3002
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Country | US
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Telephone | 212-666-4800
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Fax | 212-666-1145
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Authorized Official
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Title or Position | PRESIDENT/DIR/AO
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Name | BO YONG KIM
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Credential |
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Telephone | 212-666-4800
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 033440
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License Number State | NY
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