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General NPI Number Information
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NPI Number | 1700120672
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Entity Type | Individual
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Provider Name | BLESS CHERUKARA VARUGHESE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 3010 LEGACY DR STE 110
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City | FRISCO
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State | TX
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Zip | 75034-7629
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Country | US
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Telephone | 469-294-2001
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Fax | 469-888-8448
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Provider Business Mailing Address
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Address Line | 3010 LEGACY DR STE 110
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City | FRISCO
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State | TX
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Zip | 75034-7629
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Country | US
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Telephone | 469-294-2001
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Fax | 469-888-8448
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 57590
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 64282
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License Number State | TX
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