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General NPI Number Information
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NPI Number | 1043571367
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Entity Type | Organization
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Legal Business Name | NAYOSHA LLC
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 8900 COLUMBIA 100 PKWY STE H
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City | COLUMBIA
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State | MD
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Zip | 21045-2336
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Country | US
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Telephone | 410-740-1600
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Fax | 410-740-7116
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Provider Business Mailing Address
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Address Line | 8900 COLUMBIA 100 PKWY SUITE H
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City | COLUMBIA
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State | MD
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Zip | 21045-2336
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Country | US
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Telephone | 410-740-1600
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Fax | 410-740-7116
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | ANUPAM BHAVSAR
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Credential |
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Telephone | 410-446-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P05694
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License Number State | MD
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