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General NPI Number Information
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NPI Number | 1467743955
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Entity Type | Individual
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Provider Name | KAMLESH JAIN RPH
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Gender | Male
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 1645 E TULARE AVE
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City | TULARE
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State | CA
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Zip | 93274-3155
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Country | US
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Telephone | 559-688-5839
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Fax | 559-686-2471
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Provider Business Mailing Address
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Address Line | KUSM-KUNJ,MANGILAL PLOTS, CAMP,
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City | AMRAVATI
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State | MAHARASTRA
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Zip | 444910
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Country | IN
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Telephone | 721-266-3015
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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 | RPH 59685
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License Number State | CA
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