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General NPI Number Information
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NPI Number | 1346124708
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Entity Type | Organization
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Legal Business Name | DIVAANI LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 38449 COUNTY ROAD 54
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7529
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Country | US
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Telephone | 239-634-8767
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Fax |
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Provider Business Mailing Address
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Address Line | 10708 FOXTAIL PASTURE WAY
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City | TAMPA
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State | FL
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Zip | 33647-3758
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Country | US
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Telephone | 239-634-8767
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIGAR B PATEL
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Credential | PHARMD
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Telephone | 239-634-8767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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