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General NPI Number Information
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NPI Number | 1730200270
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Entity Type | Individual
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Provider Name | GANDHI CHITTURI B.S
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1028 E 163RD ST
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City | BRONX
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State | NY
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Zip | 10459-4309
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Country | US
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Telephone | 718-542-0892
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Fax | 718-542-1120
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Provider Business Mailing Address
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Address Line | 6 CLARKSON CT
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City | PARAMUS
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State | NJ
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Zip | 07652-5505
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Country | US
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Telephone | 201-599-0749
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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 | 030736
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License Number State | NY
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