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General NPI Number Information
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NPI Number | 1528647930
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Entity Type | Organization
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Legal Business Name | DAKSHA SAIRAM LLC
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Dates
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Enumeration Date | 04/04/2021
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2025 OLD TRENTON RD STE 4
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City | WEST WINDSOR
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State | NJ
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Zip | 08550-2412
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Country | US
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Telephone | 609-426-0441
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Fax | 833-696-3979
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Provider Business Mailing Address
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Address Line | 10 BETH CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1418
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Country | US
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Telephone | 908-888-0099
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SWATHI PINNAMANENI
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Credential |
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Telephone | 908-888-0099
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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