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General NPI Number Information
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NPI Number | 1790013274
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Entity Type | Organization
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Legal Business Name | OME SHREE INC
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 2709 CAMPOSTELLA RD STE K
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City | CHESAPEAKE
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State | VA
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Zip | 23324-3604
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Country | US
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Telephone | 757-494-5960
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 CAMPOSTELLA RD SUITE K
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City | CHESAPEAKE
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State | VA
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Zip | 23324-3604
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Country | US
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Telephone | 757-494-5960
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | SANDIPKUMAR PATEL
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Credential |
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Telephone | 757-373-8960
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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 | 0201004321
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License Number State | VA
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