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General NPI Number Information
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NPI Number | 1457630592
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Entity Type | Individual
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Provider Name | SHARATH CHANDRA VEMUGANTI RPH
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Gender | Male
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1343 E GUN HILL RD
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City | BRONX
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State | NY
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Zip | 10469-3010
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Country | US
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Telephone | 718-655-5558
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Fax |
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Provider Business Mailing Address
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Address Line | 776 EVES DR APT # 2B
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4950
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Country | US
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Telephone | 786-223-2922
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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 | 055538
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License Number State | NY
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