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General NPI Number Information
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NPI Number | 1982978854
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Entity Type | Organization
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Legal Business Name | GNSP CORP
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 9304 BALM RIVERVIEW RD
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City | RIVERVIEW
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State | FL
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Zip | 33569-5104
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Country | US
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Telephone | 813-677-6000
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Fax | 813-677-6077
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Provider Business Mailing Address
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Address Line | 9304 BALM RIVERVIEW RD
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City | RIVERVIEW
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State | FL
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Zip | 33569-5104
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Country | US
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Telephone | 813-677-6000
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Fax | 813-677-6077
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHILPA PATEL
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Credential | BSC
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Telephone | 847-942-4658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 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 #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25926
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License Number State | FL
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