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General NPI Number Information
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NPI Number | 1003832171
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Entity Type | Individual
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Provider Name | MANOJKUMAR JAYANTILAL NATHOO RPH
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 111 NW 183RD ST SUITE 509
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City | MIAMI
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State | FL
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Zip | 33169-4537
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Country | US
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Telephone | 305-892-4644
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Fax | 305-493-0817
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Provider Business Mailing Address
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Address Line | 16400 COLLINS AVE 644
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4564
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Country | US
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Telephone | 305-586-6829
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS31086
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License Number State | FL
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