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General NPI Number Information
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NPI Number | 1760706881
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Entity Type | Individual
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Provider Name | LAVANYA AKULA RPH
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 13320 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2617
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Country | US
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Telephone | 718-206-4653
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Fax | 718-206-4222
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Provider Business Mailing Address
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Address Line | 8411 HOMELAWN ST
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City | JAMAICA
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State | NY
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Zip | 11432-2127
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Country | US
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Telephone | 646-642-6282
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Fax | 718-206-4222
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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 | 000068
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS35582
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02785100
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License Number State | NJ
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