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General NPI Number Information
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NPI Number | 1770031874
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Entity Type | Organization
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Legal Business Name | UMA PARVATI LLC
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Dates
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Enumeration Date | 09/17/2016
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 70 E MAIN ST
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City | NILES
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State | MI
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Zip | 49120-2200
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Country | US
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Telephone | 269-262-4343
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Fax | 269-262-0930
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Provider Business Mailing Address
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Address Line | 70 E MAIN ST
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City | NILES
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State | MI
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Zip | 49120
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Country | US
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Telephone | 269-262-4343
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Fax | 269-262-0930
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Authorized Official
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Title or Position | PHARMACY IN CHARGE
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Name | SANDIPKUMAR PATEL
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Credential |
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Telephone | 224-595-7209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301011020
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License Number State | MI
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