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General NPI Number Information
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NPI Number | 1386967016
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Entity Type | Individual
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Provider Name | VIJAYPAUL STANLEY DHAS PHARM.D., R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 6363 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5855
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Country | US
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Telephone | 716-635-5275
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Fax | 716-635-5985
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Provider Business Mailing Address
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Address Line | 5820 INVINCIBLE DR
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City | JAMESVILLE
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State | NY
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Zip | 13078-9585
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Country | US
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Telephone | 518-469-2487
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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 | 050771-1
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License Number State | NY
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