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General NPI Number Information
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NPI Number | 1255333654
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Entity Type | Individual
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Provider Name | CHIRAYU DINESH PUROHIT PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5401 BEACON DR
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City | IRONDALE
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State | AL
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Zip | 35210-2859
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Country | US
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Telephone | 205-951-0355
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Fax | 205-956-3912
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Provider Business Mailing Address
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Address Line | 2914 SUMMIT PL
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3152
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Country | US
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Telephone | 205-249-3630
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Fax | 205-956-3912
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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 | 14794
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License Number State | AL
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