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General NPI Number Information
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NPI Number | 1841427119
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Entity Type | Organization
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Legal Business Name | VARDHMAN LLC
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 6725 W INDIANTOWN ROAD SUITE #40
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City | JUPITER
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State | FL
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Zip | 33458-4620
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Country | US
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Telephone | 954-530-9318
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Fax | 954-530-9854
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Provider Business Mailing Address
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Address Line | 6725 W INDIANTOWN RD STE 40
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City | JUPITER
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State | FL
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Zip | 33458-4620
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Country | US
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Telephone | 954-530-9318
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Fax | 954-530-9854
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOSEF FAIZIEV
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Credential |
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Telephone | 954-530-9318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24116
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License Number State | FL
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