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General NPI Number Information
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NPI Number | 1205289022
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Entity Type | Individual
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Provider Name | RAJKUMAR SEVAK PHD, RPH
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Gender | Male
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Dates
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Enumeration Date | 07/16/2016
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 4315 GOLF CLUB DR APT 2106
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City | AUBURN
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State | AL
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Zip | 36830-5836
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Country | US
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Telephone | 210-386-6112
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Fax |
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Provider Business Mailing Address
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Address Line | 4616 S DEER TRL
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City | PRESCOTT
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State | AZ
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Zip | 86303-6184
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Country | US
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Telephone | 210-386-6112
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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 | S022883
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38529
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302041826
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License Number State | MI
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