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General NPI Number Information
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NPI Number | 1477471241
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Entity Type | Organization
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Legal Business Name | ST.MEENA PLLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 2601 OSLER BLVD
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City | BRYAN
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State | TX
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Zip | 77802-2516
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Country | US
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Telephone | 979-485-9123
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Fax | 979-485-9124
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Provider Business Mailing Address
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Address Line | 2601 OSLER BLVD
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City | BRYAN
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State | TX
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Zip | 77802-2516
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Country | US
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Telephone | 979-485-9123
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Fax | 979-485-9124
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Authorized Official
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Title or Position | PIC
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Name | MAIKEL GADELSAYED
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Credential |
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Telephone | 201-888-7265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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