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General NPI Number Information
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NPI Number | 1861130767
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Entity Type | Individual
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Provider Name | RAJESHKUMAR VAGHASIA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 05/22/2022
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Provider Practice Location Address
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Address Line | 16220 FREDERICK RD STE 100
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City | GAITHERSBURG
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State | MD
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Zip | 20877-4016
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Country | US
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Telephone | 240-403-7535
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Fax | 240-403-7563
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Provider Business Mailing Address
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Address Line | 320 LIMESTONE VALLEY DR APT H
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-3694
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22060
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License Number State | MD
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