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General NPI Number Information
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NPI Number | 1750945960
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Entity Type | Organization
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Legal Business Name | SHRI NAKODA LLC
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 600 E ALTAMONTE DR STE 1400
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4829
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Country | US
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Telephone | 407-332-9753
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Fax |
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Provider Business Mailing Address
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Address Line | 252 W SR 434
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City | LONGWOOD
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State | FL
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Zip | 32750-5114
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Country | US
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Telephone | 407-332-9753
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. SANDEEP SINGHVI
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Credential | B.PHARM
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Telephone | 407-405-7773
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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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