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General NPI Number Information
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NPI Number | 1821326919
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Entity Type | Organization
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Legal Business Name | BAYRX LLC
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 2700 INTERNATIONAL BLVD STE A
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City | OAKLAND
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State | CA
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Zip | 94601-1555
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Country | US
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Telephone | 510-532-1002
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Fax | 515-532-1011
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Provider Business Mailing Address
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Address Line | 2700 INTERNATIONAL BLVD STE A
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City | OAKLAND
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State | CA
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Zip | 94601-1555
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Country | US
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Telephone | 510-532-1002
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Fax | 515-532-1011
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Authorized Official
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Title or Position | OWNER / VP
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Name | VICTORIA GOLUNOVA
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Credential | CPHT
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Telephone | 510-532-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY50028
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License Number State | CA
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