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General NPI Number Information
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NPI Number | 1033673512
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Entity Type | Individual
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Provider Name | JAGADISHKUMAR NAVINBHAI RABADIA
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Gender | Male
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 4575 NEW LINDEN HILL RD
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City | WILMINGTON
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State | DE
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Zip | 19808
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MEADOWOOD DR
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City | NEWARK
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State | DE
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Zip | 19711-7234
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Country | US
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Telephone | 732-762-8080
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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 | A1-0005142
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License Number State | DE
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