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General NPI Number Information
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NPI Number | 1861779258
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Entity Type | Individual
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Provider Name | KRISTAL RISHIL BHADJA PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 11/14/2011
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Provider Practice Location Address
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Address Line | 3063 NORTHLAKE BLVD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33403-1910
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Country | US
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Telephone | 561-881-7562
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Fax | 561-844-0237
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Provider Business Mailing Address
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Address Line | 8293 BOB-O-LINK DRIVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33412
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Country | US
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Telephone | 561-694-9599
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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 | PS42199
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License Number State | FL
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