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General NPI Number Information
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NPI Number | 1194860072
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Entity Type | Organization
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Legal Business Name | PUJA ENTERPRISES INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10010 CROSS CREEK BLVD
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City | TAMPA
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State | FL
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Zip | 33647-2595
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Country | US
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Telephone | 813-907-3150
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Fax | 813-907-3557
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Provider Business Mailing Address
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Address Line | 10010 CROSS CREEK BLVD
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City | TAMPA
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State | FL
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Zip | 33647-2595
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Country | US
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Telephone | 813-907-3150
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Fax | 813-907-3557
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. RASESH PATEL
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Credential | R.PH.
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Telephone | 813-907-3150
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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 | PH19561
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License Number State | FL
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