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General NPI Number Information
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NPI Number | 1376828871
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Entity Type | Individual
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Provider Name | SUNDEEP THAKRAR RPH
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Gender | Male
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Dates
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Enumeration Date | 10/15/2011
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Last Update Date | 10/15/2011
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Provider Practice Location Address
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Address Line | 9 E DOGWOOD CT
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City | WESTAMPTON
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State | NJ
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Zip | 08060-9668
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Country | US
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Telephone | 609-706-9247
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Fax |
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Provider Business Mailing Address
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Address Line | 9 EADY DOGWOOD COURT
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City | WESTAMPTON
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State | NJ
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Zip | 08060-0000
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Country | US
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Telephone | 609-706-9247
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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 | 28RI02571800
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License Number State | NJ
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