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General NPI Number Information
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NPI Number | 1467539288
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Entity Type | Organization
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Legal Business Name | MURARI PHARMACY LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 1201 W CAMP WISDOM RD
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City | DALLAS
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State | TX
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Zip | 75232-3446
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Country | US
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Telephone | 214-376-2709
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Fax | 214-376-3074
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Provider Business Mailing Address
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Address Line | PO BOX 630783
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City | IRVING
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State | TX
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Zip | 75063-0135
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Country | US
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Telephone | 214-376-2709
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | NANJUNDRAM KESARLA
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Credential | RPH
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Telephone | 214-376-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27542
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License Number State | TX
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