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General NPI Number Information
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NPI Number | 1487956421
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Entity Type | Organization
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Legal Business Name | RUDHRA LLC
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 8451 SHADE AVE STE 108
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City | SARASOTA
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State | FL
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Zip | 34243-2878
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Country | US
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Telephone | 941-355-2500
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Fax | 941-355-2511
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Provider Business Mailing Address
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Address Line | 8451 SHADE AVE STE #108
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City | SARASOTA
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State | FL
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Zip | 34243-2878
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Country | US
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Telephone | 941-355-2500
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Fax | 941-355-2511
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Authorized Official
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Title or Position | CEO
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Name | MR. PINAL SHAH
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Credential |
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Telephone | 941-355-2500
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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 | PH25070
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License Number State | FL
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