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General NPI Number Information
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NPI Number | 1336454735
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Entity Type | Individual
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Provider Name | SUJANA MADHIREDDY RPH
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 78 CHURCH ST
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1640
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Country | US
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Telephone | 908-782-2017
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Fax | 908-782-1229
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Provider Business Mailing Address
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Address Line | 78 CHURCH ST
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1640
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Country | US
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Telephone | 908-782-2017
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Fax | 908-782-1229
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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 | 3379
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033.0003795
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16995
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03104300
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License Number State | NJ
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