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General NPI Number Information
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NPI Number | 1780363069
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Entity Type | Individual
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Provider Name | SHIVSANKAR MISIR RPH
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Gender | Male
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 8795 TAMIAMI TRL E # 201
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City | NAPLES
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State | FL
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Zip | 34113-3313
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Country | US
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Telephone | 239-403-0060
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Fax | 239-403-0065
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Provider Business Mailing Address
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Address Line | 3260 SUNDANCE CIR
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City | NAPLES
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State | FL
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Zip | 34109-8923
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Country | US
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Telephone | 239-821-0485
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Fax |
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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 | PS31307
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License Number State | FL
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