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General NPI Number Information
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NPI Number | 1750920575
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Entity Type | Organization
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Legal Business Name | VAISHNAVI RX INC
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Dates
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Enumeration Date | 12/26/2019
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 3916 KENNEDY BLVD
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City | UNION CITY
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State | NJ
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Zip | 07087-2608
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Country | US
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Telephone | 201-758-8300
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Fax | 201-758-8303
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Provider Business Mailing Address
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Address Line | 3916 KENNEDY BLVD
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City | UNION CITY
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State | NJ
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Zip | 07087-2608
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Country | US
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Telephone | 201-758-8300
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Fax | 201-758-8303
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BALAJI DUDDUKURU
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Credential |
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Telephone | 917-754-9467
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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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