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General NPI Number Information
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NPI Number | 1144594185
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Entity Type | Individual
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Provider Name | AKSHAYA SADANAND BELLARY R.PH
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Gender | Male
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 1592 ROUTE 739
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City | DINGMANS FERRY
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State | PA
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Zip | 18328-3513
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Country | US
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Telephone | 570-828-7494
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Fax | 570-828-7594
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Provider Business Mailing Address
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Address Line | 1592 ROUTE 739
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City | DINGMANS FERRY
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State | PA
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Zip | 18328-3513
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Country | US
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Telephone | 570-828-7494
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Fax | 570-828-7594
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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 | RP445968
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License Number State | PA
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