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General NPI Number Information
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NPI Number | 1295053031
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Entity Type | Organization
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Legal Business Name | ARIYAN CORPORATION
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 600 MORRO BAY BLVD STE B
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City | MORRO BAY
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State | CA
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Zip | 93442-1965
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Country | US
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Telephone | 805-771-9988
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Fax | 805-771-9960
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Provider Business Mailing Address
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Address Line | 600 MORRO BAY BLVD SUITE B
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City | MORRO BAY
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State | CA
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Zip | 93442-1935
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Country | US
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Telephone | 805-771-9988
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Fax | 805-771-9960
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUMANTA BARAN PAUL
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Credential |
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Telephone | 805-771-9988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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