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General NPI Number Information
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NPI Number | 1700196029
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Entity Type | Organization
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Legal Business Name | SAI PHARMACY LLC
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 1163 JERICHO TPKE
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City | COMMACK
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State | NY
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Zip | 11725-3001
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Country | US
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Telephone | 516-543-3331
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Fax |
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Provider Business Mailing Address
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Address Line | 2 GALLINI DR
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City | PISCATAWAY
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State | NJ
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Zip | 08854-5580
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | RAJASEKHAR KANTAMNENI
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Credential |
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Telephone | 212-229-2622
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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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