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NPI 1801175740

NPI 1801175740 : SAJI KURIAN PHARM D : GAINESVILLE, FL

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General NPI Number Information
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    NPI Number           |    1801175740
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    Entity Type          |    Individual 
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    Provider Name        |    SAJI KURIAN PHARM D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/10/2011
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    Last Update Date     |    10/25/2022
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Provider Practice Location Address
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    Address Line         |    1600 SW ARCHER RD 
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    City                 |    GAINESVILLE
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    State                |    FL
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    Zip                  |    32610-2213
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    Country              |    US
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    Telephone            |    352-265-0111
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    Fax                  |    352-733-9281
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Provider Business Mailing Address
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    Address Line         |    12701 SW 14TH AVE 
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    City                 |    NEWBERRY
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    State                |    FL
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    Zip                  |    32669-2799
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    Country              |    US
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    Telephone            |    352-922-0024
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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       |    03331189-3
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    License Number State |    OH
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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       |    PS49709
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    License Number State |    FL
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