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NPI 1669919791

NPI 1669919791 : BADRI INC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1669919791
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    Entity Type          |    Organization 
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    Legal Business Name  |    BADRI INC 
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Dates
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    Enumeration Date     |    01/26/2017
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    Last Update Date     |    03/25/2022
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Provider Practice Location Address
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    Address Line         |    5913 NILES ST STE 2 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93306-7407
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    Country              |    US
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    Telephone            |    661-493-0408
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    Fax                  |    661-493-0204
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Provider Business Mailing Address
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    Address Line         |    5913 NILES ST STE 2 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93306-7407
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    Country              |    US
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    Telephone            |    661-493-0408
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    Fax                  |    661-493-0204
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     VIPUL  BHAVANI 
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    Credential           |    
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    Telephone            |    917-225-8429
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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        |    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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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    55481
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    License Number State |    CA
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