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General NPI Number Information
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NPI Number | 1205142627
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Entity Type | Organization
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Legal Business Name | SHRIJI SWAMI LLC
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1301 MONUMENT RD STE 22
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City | JACKSONVILLE
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State | FL
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Zip | 32225-6462
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Country | US
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Telephone | 904-727-3434
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Fax | 904-727-3464
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Provider Business Mailing Address
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Address Line | 1301 MONUMENT RD STE 22
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City | JACKSONVILLE
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State | FL
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Zip | 32225-6462
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Country | US
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Telephone | 904-727-3434
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Fax | 904-727-3464
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MITESH PATEL
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Credential |
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Telephone | 904-996-0727
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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 | PH24838
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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