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General NPI Number Information
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NPI Number | 1215143268
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Entity Type | Organization
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Legal Business Name | RIDHA,LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 22 N MAIN ST
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City | WHARTON
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State | NJ
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Zip | 07885-2220
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Country | US
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Telephone | 862-397-3133
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Fax | 862-397-3137
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Provider Business Mailing Address
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Address Line | 22 N MAIN ST
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City | WHARTON
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State | NJ
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Zip | 07885-2220
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Country | US
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Telephone | 862-397-3133
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Fax | 862-397-3137
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. DHARMESH P. PARIKH
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Credential | R.PH.
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Telephone | 862-397-3133
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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 | RS00669900
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License Number State | NJ
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