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General NPI Number Information
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NPI Number | 1215506597
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Entity Type | Individual
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Provider Name | RAMA SUNITHA VEJJU PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 1021 SUMMIT AVE
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City | OCONOMOWOC
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State | WI
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Zip | 53066-4499
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Country | US
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Telephone | 262-567-9173
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Fax |
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Provider Business Mailing Address
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Address Line | W241N5635 MAPLE GROVE LN
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City | SUSSEX
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State | WI
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Zip | 53089-3915
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Country | US
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Telephone | 414-704-6989
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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 | 20140-40
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License Number State | WI
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