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General NPI Number Information
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NPI Number | 1972994721
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Entity Type | Organization
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Legal Business Name | CVS CAREMARK
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Dates
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Enumeration Date | 02/16/2015
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 8300 NORMAN CENTER DR 8TH FLOOR
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1027
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Country | US
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Telephone | 952-826-2574
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 NORMAN CENTER DR 8TH FLOOR
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City | BLOOMINGTON
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State | MN
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Zip | 55437-1027
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Country | US
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Telephone | 952-826-2500
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Fax |
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Authorized Official
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Title or Position | TRADING PARTNER ACCOUNT MANAGER
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Name | JEFFREY SCOTT
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Credential |
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Telephone | 952-826-2574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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