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General NPI Number Information
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NPI Number | 1346478872
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Entity Type | Individual
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Provider Name | MR. SRINIVASAN PINNINTI
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 23 PIKES WAY
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City | CHELTENHAM
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State | PA
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Zip | 19012-1717
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Country | US
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Telephone | 215-379-3565
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Fax | 215-379-3565
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Provider Business Mailing Address
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Address Line | 23 PIKES WAY
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City | CHELTENHAM
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State | PA
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Zip | 19012-1717
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Country | US
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Telephone | 215-379-3565
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Fax | 215-379-3565
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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 | 28RI02910400
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License Number State | NJ
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