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General NPI Number Information
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NPI Number | 1790816403
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Entity Type | Individual
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Provider Name | VEENA RUSHI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2220 BRIDGEPOINTE PKWY
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City | SAN MATEO
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State | CA
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Zip | 94404-1569
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Country | US
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Telephone | 650-393-2126
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Fax | 650-393-2126
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Provider Business Mailing Address
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Address Line | 1075 PARK PL APT. 326
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City | SAN MATEO
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State | CA
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Zip | 94403-1587
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Country | US
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Telephone | 650-518-1746
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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 | 58148
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License Number State | CA
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