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General NPI Number Information
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NPI Number | 1689070286
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Entity Type | Organization
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Legal Business Name | SHAMBHU INC.
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Dates
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Enumeration Date | 11/08/2014
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 232 NE 1ST AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-9443
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Country | US
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Telephone | 386-454-1586
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Fax |
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Provider Business Mailing Address
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Address Line | 5144 SW 82ND TER
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City | GAINESVILLE
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State | FL
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Zip | 32608-7406
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Country | US
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Telephone | 407-902-7543
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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 | VARSHA CHAUDHARI
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Credential | RPH
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Telephone | 407-902-7543
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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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