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General NPI Number Information
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NPI Number | 1801057260
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Entity Type | Individual
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Provider Name | KAMAL D. BHAKTA PHARM.D.,R.PH.,MBA
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Gender | Male
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 02/02/2020
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Provider Practice Location Address
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Address Line | 4000 24TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1894
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Country | US
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Telephone | 806-725-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 4015 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1119
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Country | US
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Telephone |
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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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 | RP00007066
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S017078
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45446
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License Number State | TX
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