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General NPI Number Information
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NPI Number | 1710280458
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Entity Type | Organization
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Legal Business Name | BISHT LLC
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 301 N BREVARD AVE STE E
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City | ARCADIA
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State | FL
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Zip | 34266-4501
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Country | US
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Telephone | 863-491-7415
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Fax | 863-491-7416
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Provider Business Mailing Address
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Address Line | 301 N BREVARD AVE STE E
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City | ARCADIA
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State | FL
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Zip | 34266-4501
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Country | US
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Telephone | 863-491-7415
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Fax | 863-491-7416
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSHAN BISHT
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Credential |
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Telephone | 727-637-2922
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25124
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License Number State | FL
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