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General NPI Number Information
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NPI Number | 1104269372
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Entity Type | Organization
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Legal Business Name | GARMA LLC
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 04/08/2013
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Provider Practice Location Address
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Address Line | 38 EAST AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-4004
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Country | US
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Telephone | 401-440-3936
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Fax |
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Provider Business Mailing Address
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Address Line | 465 LONSDALE AVE SUITE B
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City | PAWTUCKET
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State | RI
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Zip | 02860-1874
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Country | US
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Telephone | 401-475-5655
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Fax | 401-475-2631
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Authorized Official
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Title or Position | MEMBER
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Name | GARY S KISHFY
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Credential | RPH
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Telephone | 401-440-3936
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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 |
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License Number State |
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