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General NPI Number Information
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NPI Number | 1235474370
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Entity Type | Individual
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Provider Name | HARESH MALAVIYA
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Gender | Male
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 60 NOBLE BLVD
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City | CARLISLE
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State | PA
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Zip | 17013
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Country | US
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Telephone | 717-258-4252
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Fax |
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Provider Business Mailing Address
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Address Line | 6210 RUN CROSS LN
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City | ENOLA
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State | PA
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Zip | 17025-1295
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Country | US
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Telephone | 201-290-3649
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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 | 65898
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License Number State | CA
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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 | RP446096
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License Number State | PA
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