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General NPI Number Information
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NPI Number | 1275954836
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Entity Type | Organization
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Legal Business Name | VARAHIMA LLC
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 207 N 6TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-4111
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Country | US
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Telephone | 610-351-3900
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Fax | 610-351-3904
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Provider Business Mailing Address
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Address Line | 207 N 6TH ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-4111
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Country | US
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Telephone | 610-351-3900
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Fax | 610-351-3904
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | UMESH PATEL
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Credential |
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Telephone | 484-274-5428
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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 | PP482403
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License Number State | PA
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