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General NPI Number Information
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NPI Number | 1851429955
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Entity Type | Individual
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Provider Name | BADRINATH A KUMAR M.PHARM, R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 4915 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10034-3119
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Country | US
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Telephone | 212-304-4646
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Fax | 212-304-0759
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Provider Business Mailing Address
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Address Line | 4915 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10034-3119
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Country | US
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Telephone | 212-304-4646
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Fax | 212-304-0759
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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 | 28RI03003500
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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 | 050737
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License Number State | NY
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