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General NPI Number Information
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NPI Number | 1770095408
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Entity Type | Organization
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Legal Business Name | SAI VARUNI PHARMACY LLC
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 709 FRELINGHUYSEN AVE
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City | NEWARK
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State | NJ
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Zip | 07114-1304
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Country | US
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Telephone | 973-424-0045
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Fax | 973-547-3306
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Provider Business Mailing Address
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Address Line | 709 FRELINGHUYSEN AVE
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City | NEWARK
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State | NJ
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Zip | 07114-1304
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Country | US
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Telephone | 973-424-0045
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Fax | 973-547-3306
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. RAJASEKHAR KANTAMNENI
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Credential |
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Telephone | 973-424-0045
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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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