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General NPI Number Information
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NPI Number | 1124102983
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Entity Type | Organization
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Legal Business Name | GODHANI INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 87 MAIN ST
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City | PATERSON
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State | NJ
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Zip | 07505
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Country | US
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Telephone | 973-279-5510
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Fax | 973-279-1234
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Provider Business Mailing Address
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Address Line | 87 MAIN ST
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City | PATERSON
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State | NJ
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Zip | 07505
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Country | US
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Telephone | 973-279-5510
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Fax | 973-279-1234
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. BHANU M GODHANI
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Credential | RPH
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Telephone | 973-279-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00366800
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License Number State | NJ
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