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General NPI Number Information
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NPI Number | 1811498496
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Entity Type | Organization
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Legal Business Name | BSH HEALTH INC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1720B STATE ROAD 44
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-8339
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Country | US
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Telephone | 386-777-7677
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Fax | 386-777-7577
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Provider Business Mailing Address
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Address Line | 1720B STATE ROAD 44
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-8339
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Country | US
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Telephone | 386-777-7677
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Fax | 386-777-7577
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENJAMIN HANNA
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Credential | BSPS
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Telephone | 386-898-1278
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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 | PH31143
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License Number State | FL
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