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General NPI Number Information
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NPI Number | 1285991000
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Entity Type | Individual
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Provider Name | DARSHAN SATISH BHAKTA PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 436 S RIVERSIDE AVE
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City | RIALTO
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State | CA
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Zip | 92376-6523
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Country | US
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Telephone | 909-961-2288
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Fax | 909-301-0110
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Provider Business Mailing Address
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Address Line | 8540 RAVILLER DR
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City | DOWNEY
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State | CA
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Zip | 90240-3310
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Country | US
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Telephone | 949-929-6933
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Fax | 909-301-0110
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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 | 57950
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License Number State | CA
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