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General NPI Number Information
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NPI Number | 1669429353
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Entity Type | Organization
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Legal Business Name | SAMARPAN INC.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 6126 PRESTLEY MILL RD UNIT K
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-5623
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Country | US
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Telephone | 770-949-7977
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Fax | 770-489-7160
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Provider Business Mailing Address
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Address Line | 6126 PRESTLEY MILL RD UNIT K
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-5623
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Country | US
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Telephone | 770-949-7977
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Fax | 770-489-7160
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Authorized Official
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Title or Position | CHIEF PHARMACIST OWNER
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Name | MR. PARIKSHIT S PATEL
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Credential | RPH.
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Telephone | 770-949-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 007495
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License Number State | GA
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