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General NPI Number Information
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NPI Number | 1578574075
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Entity Type | Organization
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Legal Business Name | CHANDI INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 11 RYANT BLVD
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City | SEBRING
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State | FL
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Zip | 33872-4075
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Country | US
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Telephone | 863-402-5436
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Fax | 863-402-5438
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Provider Business Mailing Address
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Address Line | 11 RYANT BLVD
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City | SEBRING
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State | FL
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Zip | 33872-4075
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHRMCY MGR
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Name | VIRAL PATEL
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Credential |
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Telephone | 201-892-1968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH22105
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License Number State | FL
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