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General NPI Number Information
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NPI Number | 1881698355
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Entity Type | Organization
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Legal Business Name | BIOSCRIP PHARMACY, INC.
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 3111 45TH ST SUITES 9 & 10
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1974
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Country | US
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Telephone | 561-683-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 10050 CROSSTOWN CIR STE 300
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3374
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Country | US
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Telephone | 800-753-5995
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Fax | 952-352-6698
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JAMES MELANCON
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Credential |
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Telephone | 917-449-6939
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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 | PH0015110
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License Number State | FL
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