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General NPI Number Information
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NPI Number | 1285636761
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Entity Type | Individual
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Provider Name | VIVEK NAVANEETHAN M.S., PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8 BRIDLE PATH CT
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5645
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Country | US
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Telephone | 856-629-7807
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Fax | 856-629-7807
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Provider Business Mailing Address
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Address Line | 8 BRIDLE PATH CT
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5645
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Country | US
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Telephone | 856-629-7807
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Fax | 856-629-7807
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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 | 28RI02831300
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License Number State | NJ
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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 | 14402
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP437415
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A10003261
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License Number State | DE
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