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General NPI Number Information
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NPI Number | 1366790123
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Entity Type | Organization
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Legal Business Name | PRAMUKHCS LLC
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 718 RIVERSIDE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7008
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Country | US
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Telephone | 954-654-4936
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Fax |
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Provider Business Mailing Address
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Address Line | 718 RIVERSIDE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7008
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Country | US
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Telephone | 954-654-4936
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | SAUMIL PINAKIN JANI
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Credential |
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Telephone | 732-692-0363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | FL
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