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General NPI Number Information
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NPI Number | 1013736495
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Entity Type | Individual
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Provider Name | SOWJANYA CHERUKURI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 3109 WALNUT GROVE RD
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City | MEMPHIS
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State | TN
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Zip | 38111-3509
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Country | US
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Telephone | 901-515-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 416 ISLAND DR APT 211
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City | MEMPHIS
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State | TN
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Zip | 38103-1597
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Country | US
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Telephone | 901-286-0007
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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 | E-101731
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 46998
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License Number State | TN
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