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General NPI Number Information
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NPI Number | 1871185595
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Entity Type | Organization
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Legal Business Name | SSA HOLDINGS LLC
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 6010 S WESTERN ST UNIT 100
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City | AMARILLO
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State | TX
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Zip | 79110-3653
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Country | US
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Telephone | 806-803-9401
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Fax | 806-803-9412
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Provider Business Mailing Address
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Address Line | 6010 S WESTERN ST UNIT 100
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City | AMARILLO
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State | TX
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Zip | 79110-3653
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Country | US
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Telephone | 806-803-9401
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Fax | 806-803-9412
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Authorized Official
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Title or Position | PHARMACIST
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Name | RAMESH BABU ALUDANDI
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Credential | RPH
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Telephone | 806-803-9401
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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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