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General NPI Number Information
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NPI Number | 1598323776
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Entity Type | Organization
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Legal Business Name | RUDRARX LLC
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 129 E MAIN ST STE 300
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-0169
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Country | US
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Telephone | 919-525-9852
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Fax |
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Provider Business Mailing Address
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Address Line | 105 HATCHET CREEK CT
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City | MORRISVILLE
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State | NC
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Zip | 27560-9514
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Country | US
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Telephone | 919-525-9852
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. UMESH CHAUDHARY
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Credential | PHARM.D.
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Telephone | 919-525-9852
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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 |
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License Number State |
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