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General NPI Number Information
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NPI Number | 1912570904
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Entity Type | Organization
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Legal Business Name | BAY PHARMACIES INC
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 2476 S ONEIDA ST STE 120
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City | GREEN BAY
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State | WI
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Zip | 54304-5288
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Country | US
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Telephone | 920-965-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 1437 EGG HARBOR RD
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City | STURGEON BAY
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State | WI
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Zip | 54235-1239
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Country | US
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Telephone | 920-746-2158
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Fax | 920-746-2138
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | RAE ANN JOSEPHINE GOSSER
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Credential |
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Telephone | 920-473-4733
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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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