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General NPI Number Information
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NPI Number | 1396030755
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Entity Type | Individual
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Provider Name | MRS. KRUTIKA VIKRAM GUJARATHI
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Gender | Female
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 8230 TOPANGA CANYON, RITE AID PHARMACY
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City | CANOGA PARK
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State | CA
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Zip | 91304
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Country | US
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Telephone | 818-348-5126
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Fax |
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Provider Business Mailing Address
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Address Line | 6530 INDEPENDENCE AVE APT 210
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City | CANOGA PARK
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State | CA
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Zip | 91303-2984
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Country | US
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Telephone | 818-704-7671
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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 | 59544
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License Number State | CA
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