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General NPI Number Information
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NPI Number | 1801879291
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Entity Type | Organization
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Legal Business Name | ASR HEALTH INC.
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 12677 HESPERIA ROAD SUITE 180
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City | VICTORVILLE
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State | CA
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Zip | 92395
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Country | US
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Telephone | 760-962-1200
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Fax | 760-962-1222
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Provider Business Mailing Address
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Address Line | 12677 HESPERIA RD STE 180
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City | VICTORVILLE
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State | CA
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Zip | 92395-7754
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Country | US
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Telephone | 760-962-1200
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Fax | 760-962-1222
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Authorized Official
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Title or Position | DIRECTOR
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Name | SRINIVASA RAO KANDRU
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Credential |
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Telephone | 760-962-1200
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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 |
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License Number State |
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