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General NPI Number Information
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NPI Number | 1518559574
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Entity Type | Individual
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Provider Name | ANURADHA BIJJA
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Gender | Female
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 218 E PULASKI HWY
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City | ELKTON
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State | MD
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Zip | 21921-6650
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Country | US
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Telephone | 443-207-5105
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Fax | 443-245-3734
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Provider Business Mailing Address
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Address Line | 16 LATOUR LN
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City | NEWARK
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State | DE
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Zip | 19702-4544
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Country | US
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Telephone | 302-750-8629
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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 | 18271
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License Number State | MD
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