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General NPI Number Information
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NPI Number | 1346775194
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Entity Type | Organization
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Legal Business Name | SAHAJANAND SWAMI LLC
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 2579 LAWRENCEVILLE HWY STE A
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City | DECATUR
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State | GA
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Zip | 30033-3206
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Country | US
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Telephone | 770-723-9460
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Fax | 770-723-9461
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Provider Business Mailing Address
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Address Line | 2579 LAWRENCEVILLE HWY STE A
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City | DECATUR
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State | GA
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Zip | 30033-3206
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Country | US
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Telephone | 770-723-9460
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Fax | 770-723-9461
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Authorized Official
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Title or Position | MANAGER
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Name | MAHESH PATEL
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Credential |
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Telephone | 704-692-1434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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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