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General NPI Number Information
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NPI Number | 1255877312
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Entity Type | Organization
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Legal Business Name | SUBHAM HEALTHCARE LLC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 105 15TH ST SE
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City | STEINHATCHEE
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State | FL
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Zip | 32359-3101
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Country | US
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Telephone | 352-498-0680
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Fax | 352-498-0682
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Provider Business Mailing Address
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Address Line | 102 9TH ST S E
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City | STEINHATCHEE
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State | FL
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Zip | 32359
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Country | US
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Telephone | 352-498-0680
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Fax | 352-498-0682
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | CHIRAG PATEL
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Credential |
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Telephone | 352-498-0680
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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 | PH30542
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License Number State | FL
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