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General NPI Number Information
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NPI Number | 1992691307
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Entity Type | Organization
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Legal Business Name | BONK VENTURES LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 12065 OLD MERIDIAN ST STE 105
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City | CARMEL
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State | IN
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Zip | 46032-8773
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Country | US
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Telephone | 317-213-5117
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Fax |
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Provider Business Mailing Address
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Address Line | 668 GREENFORD TRL N
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City | CARMEL
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State | IN
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Zip | 46032-1119
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Country | US
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Telephone | 317-213-5117
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BARRY J HART
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Credential | R.PH
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Telephone | 317-213-5117
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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 |
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License Number State |
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