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General NPI Number Information
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NPI Number | 1295089175
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Entity Type | Organization
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Legal Business Name | SRI RAJ INC.
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 3409 CALLOWAY DR UNIT 602
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2534
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Country | US
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Telephone | 661-589-7979
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Fax | 661-589-7222
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Provider Business Mailing Address
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Address Line | 3409 CALLOWAY DR UNIT 602
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2534
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Country | US
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Telephone | 661-589-7979
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Fax | 661-589-7222
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Authorized Official
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Title or Position | PHARMACIST/PHARMACY MANAGER
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Name | MISS DEEPA B KAPADIA
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Credential | R.PH
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Telephone | 661-589-7979
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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 | PHY 51086
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY 51086
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License Number State | CA
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