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General NPI Number Information
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NPI Number | 1427266162
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Entity Type | Individual
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Provider Name | NEERAJ GUPTA MS,RPH
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1825 E MAIN ST ALBEMARLE
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City | ALBEMARLE
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State | NC
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Zip | 28001-5331
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Country | US
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Telephone | 704-986-0029
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Fax | 704-986-0038
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Provider Business Mailing Address
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Address Line | 610 HEATHWOOD DR ALBEMARLE
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City | ALBEMARLE
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State | NC
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Zip | 28001-5667
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Country | US
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Telephone | 646-416-1380
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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 | 18622
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License Number State | NC
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