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General NPI Number Information
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NPI Number | 1861234122
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Entity Type | Organization
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Legal Business Name | SHRINATHJEE LLC
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 1825 TAMIAMI TRL UNIT B7
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1056
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Country | US
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Telephone | 941-979-5301
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Fax | 941-296-7800
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Provider Business Mailing Address
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Address Line | 1825 TAMIAMI TRL UNIT B7
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1056
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Country | US
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Telephone | 941-979-5301
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Fax | 941-296-7800
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Authorized Official
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Title or Position | AUTHORIZED OFFICER
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Name | NIRAJ BANJARA
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Credential |
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Telephone | 941-979-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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