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General NPI Number Information
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NPI Number | 1629744941
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Entity Type | Organization
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Legal Business Name | SHREEJI 16 INC
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 2012 S PINE AVE
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City | OCALA
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State | FL
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Zip | 34471-8192
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Country | US
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Telephone | 352-348-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 3702 PEACEPIPE WAY
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City | CLERMONT
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State | FL
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Zip | 34711-8968
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Country | US
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Telephone | 352-348-4049
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | TEJAS GANDHI
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Credential | PHARMACIST
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Telephone | 352-348-4049
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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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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