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General NPI Number Information
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NPI Number | 1730005844
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Entity Type | Individual
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Provider Name | RAMESH BABU GATTU PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 24840 S TAMIAMI TRL STE 1AND1
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7009
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Country | US
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Telephone | 239-314-0278
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Fax | 239-314-0279
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Provider Business Mailing Address
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Address Line | 6431 ROYAL WOODS DR
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City | FORT MYERS
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State | FL
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Zip | 33908-6190
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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 |
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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 | PS37136
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License Number State | FL
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