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General NPI Number Information
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NPI Number | 1598026734
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Entity Type | Organization
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Legal Business Name | MAHAKALI CORPORATION
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 04/24/2021
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Provider Practice Location Address
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Address Line | 42 N MAIN ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-3004
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Country | US
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Telephone | 518-725-4400
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Fax | 518-725-4700
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Provider Business Mailing Address
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Address Line | 42 N MAIN ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-3004
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Country | US
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Telephone | 518-725-4400
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Fax | 518-725-4700
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Authorized Official
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Title or Position | SUPERVISOR
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Name | HASMUKHKUMAR PATEL
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Credential | RPH
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Telephone | 518-725-4400
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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 | 031342
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License Number State | NY
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