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General NPI Number Information
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NPI Number | 1316968001
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Entity Type | Organization
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Legal Business Name | SHIV PHARMACY CORPORATION
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 548 WILLETT AVE
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City | PORT CHESTER
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State | NY
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Zip | 10573-3130
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Country | US
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Telephone | 914-939-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 548 WILLETT AVE
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City | PORT CHESTER
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State | NY
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Zip | 10573-3130
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RPH
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Name | MANISH PATNI
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Credential |
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Telephone | 914-939-5820
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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 | 023859
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License Number State | NY
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