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General NPI Number Information
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NPI Number | 1801036678
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Entity Type | Individual
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Provider Name | VEERA REDDY E NADAKATLA PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 04/02/2022
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Provider Practice Location Address
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Address Line | 102 W PLEASANT AVE
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City | MAYWOOD
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State | NJ
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Zip | 07607-1336
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Country | US
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Telephone | 201-880-5290
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Fax | 201-880-5291
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Provider Business Mailing Address
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Address Line | 106 HARRISON AVE
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City | COLONIA
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State | NJ
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Zip | 07067-2229
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Country | US
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Telephone | 732-581-2071
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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 | 28RI02512100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02515100
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License Number State | NJ
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