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General NPI Number Information
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NPI Number | 1063605954
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Entity Type | Organization
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Legal Business Name | JANADHARN INC
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 22972 LAHSER RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-4408
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Country | US
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Telephone | 248-352-8302
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Fax | 248-352-8387
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Provider Business Mailing Address
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Address Line | PO BOX 87115
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City | CANTON
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State | MI
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Zip | 48187-0115
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Country | US
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Telephone | 313-412-9229
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Fax | 313-981-5266
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRABHJEET KAUR
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Credential | RPH
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Telephone | 313-412-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301008688
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License Number State | MI
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