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General NPI Number Information
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NPI Number | 1326584947
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Entity Type | Individual
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Provider Name | LALJI G BHIMANI
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Gender | Male
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Dates
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Enumeration Date | 01/07/2017
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Last Update Date | 01/07/2017
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Provider Practice Location Address
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Address Line | 7 BUCKLEY LN
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City | MARLTON
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State | NJ
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Zip | 08053-4924
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Country | US
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Telephone | 856-397-9274
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BHIMANI LANE
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City | ALIDHRA
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State | GUJARAT
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Zip | 362260
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Country | IN
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Telephone |
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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 | 28RI01723000
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License Number State | NJ
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