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General NPI Number Information
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NPI Number | 1689439531
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Entity Type | Organization
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Legal Business Name | VIP88 LLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 6136 SPRINGFIELD BLVD
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-2336
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Country | US
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Telephone | 718-819-0881
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Fax | 718-954-9493
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Provider Business Mailing Address
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Address Line | PO BOX 640324
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-0324
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Country | US
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Telephone | 718-819-0881
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Fax | 718-954-9493
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Authorized Official
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Title or Position | MANAGER
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Name | LIN DAI
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Credential |
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Telephone | 718-819-0881
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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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