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General NPI Number Information
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NPI Number | 1447656616
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Entity Type | Organization
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Legal Business Name | SAHAJANAND LLC
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 190 THOMAS JOHNSON DR STE 3
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City | FREDERICK
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State | MD
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Zip | 21702-4879
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Country | US
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Telephone | 240-422-8433
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Fax | 301-662-0001
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Provider Business Mailing Address
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Address Line | 190 THOMAS JOHNSON DR STE 3
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City | FREDERICK
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State | MD
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Zip | 21702-4879
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Country | US
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Telephone | 240-422-8433
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Fax | 301-662-0001
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Authorized Official
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Title or Position | OWNER
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Name | AMBRISH PATEL
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Credential | PHARMD
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Telephone | 240-422-8433
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | P07455
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License Number State | MD
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