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General NPI Number Information
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NPI Number | 1124437546
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Entity Type | Organization
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Legal Business Name | SANJEVANI CORP
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 366 CROMWELL AVE
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City | ROCKY HILL
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State | CT
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Zip | 06067-1841
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Country | US
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Telephone | 860-372-4618
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Fax | 860-372-4648
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Provider Business Mailing Address
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Address Line | 366 CROMWELL AVE
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City | ROCKY HILL
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State | CT
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Zip | 06067-1841
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Country | US
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Telephone | 860-372-4618
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Fax | 860-372-4648
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Authorized Official
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Title or Position | MANAGER
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Name | RAKESH PATEL
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Credential |
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Telephone | 860-372-4618
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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 | 2299
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License Number State | CT
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