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General NPI Number Information
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NPI Number | 1720797954
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTERS OF BURLINGTON INC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 617 RIVERSIDE AVE STE 1
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City | BURLINGTON
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State | VT
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Zip | 05401-1601
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Country | US
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Telephone | 833-446-1711
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Fax | 802-318-4934
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Provider Business Mailing Address
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Address Line | 320 S POLK ST STE 200
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City | AMARILLO
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State | TX
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Zip | 79101-1436
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Country | US
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Telephone | 806-242-7782
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Fax | 802-318-4934
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Authorized Official
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Title or Position | PRESIDENT OF PHARMACY SERVICES
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Name | JOEL WRIGHT
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Credential |
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Telephone | 806-242-7782
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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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