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General NPI Number Information
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NPI Number | 1982842530
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Entity Type | Organization
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Legal Business Name | BIP PHARMACY. LLC
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 1560 GRAND CONCOURSE SUITE 100
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City | BRONX
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State | NY
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Zip | 10457-8471
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Country | US
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Telephone | 718-294-7899
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Fax | 718-294-7506
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Provider Business Mailing Address
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Address Line | 1560 GRAND CONCOURSE SUITE 100
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City | BRONX
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State | NY
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Zip | 10457-8471
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Country | US
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Telephone | 718-294-7899
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Fax | 718-294-7506
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Authorized Official
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Title or Position | PARTNER
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Name | BIMAL THAKKAR
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Credential | PRESIDENT
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Telephone | 718-294-7899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PENDING
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License Number State | NY
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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 | PENDING
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License Number State | NY
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