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General NPI Number Information
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NPI Number | 1609969971
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Entity Type | Organization
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Legal Business Name | OMSHREE CORPORATION
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 10 SE FRONT ST
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City | MILFORD
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State | DE
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Zip | 19963-1942
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Country | US
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Telephone | 302-265-2756
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Fax | 302-491-6235
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Provider Business Mailing Address
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Address Line | 10 SE FRONT ST
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City | MILFORD
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State | DE
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Zip | 19963
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Country | US
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Telephone | 302-265-2756
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Fax | 302-491-6235
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | TEJAS SHETH
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Credential | RPH
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Telephone | 302-265-2756
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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 | 830000836
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1699969971
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 830000836
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License Number State | DE
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