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General NPI Number Information
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NPI Number | 1871073155
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Entity Type | Organization
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Legal Business Name | BRAHMA LLC
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 7206 MCKNIGHT RD STE 103
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City | PITTSBURGH
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State | PA
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Zip | 15237-3501
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Country | US
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Telephone | 412-837-3701
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Fax | 412-228-0000
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Provider Business Mailing Address
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Address Line | 7206 MCKNIGHT RD STE 103
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City | PITTSBURGH
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State | PA
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Zip | 15237-3501
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Country | US
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Telephone | 412-837-3701
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Fax | 412-228-0000
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHEFALI SHAH
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Credential |
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Telephone | 412-837-3701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482804
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License Number State | PA
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