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General NPI Number Information
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NPI Number | 1588091078
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Entity Type | Individual
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Provider Name | RAVI DRAKSHAPALLY R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 337 E 149TH ST PHARMORE PHARMACY
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City | BRONX
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State | NY
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Zip | 10451-5688
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Country | US
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Telephone | 646-314-7954
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Fax | 646-314-7954
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Provider Business Mailing Address
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Address Line | 337 E 149TH ST PHARMORE PHARMACY
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City | BRONX
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State | NY
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Zip | 10451-5688
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Country | US
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Telephone | 646-314-7954
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Fax | 646-314-7954
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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 | 28RI03483000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 058775
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License Number State | NY
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