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General NPI Number Information
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NPI Number | 1427347798
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Entity Type | Individual
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Provider Name | MRS. SULOCHANA JUNNOTULA
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Gender | Female
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 1602 KIRKWOOD HWY
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City | NEWARK
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State | DE
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Zip | 19711-5718
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Country | US
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Telephone | 302-453-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 713 OBSERVATORY DR
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City | BEAR
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State | DE
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Zip | 19701-6835
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Country | US
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Telephone | 302-753-3552
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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 | A1-0003789
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License Number State | DE
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