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General NPI Number Information
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NPI Number | 1407293830
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Entity Type | Organization
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Legal Business Name | PANSMART INC
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 1693 FLANIGAN DR 104
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City | SAN JOSE
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State | CA
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Zip | 95121-1683
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Country | US
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Telephone | 408-274-6698
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Fax | 408-274-8580
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Provider Business Mailing Address
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Address Line | 1693 FLANIGAN DR 104
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City | SAN JOSE
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State | CA
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Zip | 95121-1683
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Country | US
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Telephone | 408-274-6698
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Fax | 408-274-8580
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Authorized Official
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Title or Position | CEO
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Name | PINAK GANDHI
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Credential |
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Telephone | 408-396-9200
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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 | 51483
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License Number State | CA
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