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General NPI Number Information
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NPI Number | 1104859537
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Entity Type | Individual
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Provider Name | SANTOSH KUMAR DWARAKANATH RPH
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 700 WASHINGTON BLVD PHARMERICA
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City | BALTIMORE
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State | MD
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Zip | 21230-2350
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Country | US
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Telephone | 410-539-4986
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Fax |
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Provider Business Mailing Address
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Address Line | 6911 OLD WATERLOO RD
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City | ELKRIDGE
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State | MD
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Zip | 21075-6529
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Country | US
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Telephone | 443-992-4720
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Fax | 866-778-6726
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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 | 17514
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License Number State | MD
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