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General NPI Number Information
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NPI Number | 1205500691
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Entity Type | Organization
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Legal Business Name | MAATAJI RX CORP
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 6533 PRESTON RD STE 300
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City | PLANO
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State | TX
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Zip | 75024-2691
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Country | US
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Telephone | 972-378-5920
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Fax | 972-378-5922
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Provider Business Mailing Address
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Address Line | 201 NOBLE CT
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City | MURPHY
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State | TX
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Zip | 75094-4237
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Country | US
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Telephone | 469-449-3668
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | KIRANBEN NIRMAL PATEL
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Credential |
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Telephone | 469-449-3668
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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 |
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License Number State |
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