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General NPI Number Information
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NPI Number | 1932235199
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Entity Type | Organization
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Legal Business Name | B&B ENTERPRISES OF FAY INC
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Dates
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Enumeration Date | 02/24/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1431 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4405
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Country | US
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Telephone | 910-486-5936
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Fax | 910-486-9227
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Provider Business Mailing Address
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Address Line | 1431 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4405
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Country | US
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Telephone | 910-486-5936
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Fax | 910-486-9227
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. BRENDA HALL FONVILLE
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Credential | R.PH.
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Telephone | 910-486-5936
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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 | NC
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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 | 5638
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License Number State | NC
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