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General NPI Number Information
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NPI Number | 1750926119
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Entity Type | Organization
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Legal Business Name | DHARM NANDAN LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 3808 MORRELL AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1915
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Country | US
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Telephone | 267-329-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 107 AUGUST LN
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City | LANSDALE
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State | PA
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Zip | 19446-6715
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Country | US
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Telephone | 267-329-4900
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Fax | 267-329-4901
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | PANKIL RAJANIKANT PATEL
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Credential | PHARM.D
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Telephone | 267-329-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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