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General NPI Number Information
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NPI Number | 1164644977
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Entity Type | Individual
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Provider Name | JAYANTILAL KHIMJI CHHEDA R.PH.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24 EAST 14TH ST.
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-337-7650
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Fax |
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Provider Business Mailing Address
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Address Line | 45 PARKSIDE CT.
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City | COPIAGUE
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State | NY
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Zip | 11726
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Country | US
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Telephone | 631-842-8049
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Fax |
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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 | 031197-1
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License Number State | NY
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