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General NPI Number Information
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NPI Number | 1326072554
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Entity Type | Individual
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Provider Name | MR. CHANDRAMOHAN S HARANHALLI
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3343 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11208-2003
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Country | US
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Telephone | 718-277-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 125 WOODCREST DR
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City | SYOSSET
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State | NY
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Zip | 11791-3037
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Country | US
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Telephone | 516-921-8166
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Fax |
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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 | 32194
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License Number State | NY
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