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General NPI Number Information
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NPI Number | 1366727406
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Entity Type | Individual
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Provider Name | AMISHA GANDHI
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Gender | Female
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 1947 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34236-4203
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Country | US
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Telephone | 941-955-2064
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Fax | 941-365-0658
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Provider Business Mailing Address
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Address Line | 5920 48TH ST E
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City | BRADENTON
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State | FL
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Zip | 34203-6308
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Country | US
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Telephone | 941-518-7605
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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 | PS42300
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License Number State | FL
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