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General NPI Number Information
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NPI Number | 1033540349
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Entity Type | Organization
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Legal Business Name | RATNAKAR RX LLC
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 220 W MAIN ST
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City | OWENSVILLE
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State | OH
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Zip | 45160
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Country | US
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Telephone | 513-732-2503
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Fax | 513-732-5591
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Provider Business Mailing Address
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Address Line | 220 WEST MAIN STREET P O BOX 849
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City | OWENSVILLE
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State | OH
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Zip | 45160
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Country | US
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Telephone | 513-732-2503
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Fax | 513-732-5591
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Authorized Official
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Title or Position | OWNER
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Name | BHAVESH PATEL
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Credential | RPH
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Telephone | 513-732-2503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 022365150
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License Number State | OH
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