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General NPI Number Information
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NPI Number | 1548202005
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Entity Type | Organization
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Legal Business Name | KHATAU-MANEK LTD
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 1400 E GOLF RD SUITE 101
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City | DES PLAINES
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State | IL
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Zip | 60016-1236
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Country | US
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Telephone | 847-296-1400
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Fax | 847-296-1431
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Provider Business Mailing Address
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Address Line | 1400 E GOLF RD SUITE 101
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City | DES PLAINES
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State | IL
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Zip | 60016-1236
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Country | US
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Telephone | 847-296-1400
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Fax | 847-296-1431
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Authorized Official
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Title or Position | PRESIDENT, PIC
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Name | JIGNESH GANDHI
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Credential |
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Telephone | 847-296-1400
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054014811
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License Number State | IL
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