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General NPI Number Information
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NPI Number | 1013297571
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Entity Type | Individual
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Provider Name | JITENDRA SARASWAT PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2011
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Last Update Date | 08/27/2011
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Provider Practice Location Address
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Address Line | 6210 LAKELAND HIGHLANDS RD
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City | LAKELAND
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State | FL
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Zip | 33813-3844
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Country | US
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Telephone | 863-647-3551
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Fax | 863-648-5180
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Provider Business Mailing Address
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Address Line | 3797 HAMPTON HILLS DR
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City | LAKELAND
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State | FL
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Zip | 33810-3868
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Country | US
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Telephone | 352-262-8649
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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 | PS040090
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License Number State | FL
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