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General NPI Number Information
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NPI Number | 1578901898
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Entity Type | Organization
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Legal Business Name | ASHKIN LLC
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Dates
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Enumeration Date | 06/08/2013
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 705 S FRY RD STE 105
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City | KATY
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State | TX
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Zip | 77450-2252
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Country | US
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Telephone | 281-213-2173
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Fax |
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Provider Business Mailing Address
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Address Line | 17223 RED OAK BEND DR
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City | CYPRESS
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State | TX
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Zip | 77433-2784
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Country | US
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Telephone | 281-764-6199
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KINJAL ASHISH MEHTA
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Credential |
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Telephone | 281-764-6199
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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 | 28585
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License Number State | TX
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