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General NPI Number Information
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NPI Number | 1881459394
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Entity Type | Individual
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Provider Name | VRAJESH RAJESH KANCHANWALA
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Gender | Male
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 2931 CENTRAL CITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77551-1129
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Country | US
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Telephone | 409-740-2488
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Fax | 409-740-8320
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Provider Business Mailing Address
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Address Line | 6600 PLUM CREEK DR APT 254
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City | AMARILLO
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State | TX
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Zip | 79124-1632
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Country | US
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Telephone | 171-349-9970
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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 | 73663
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License Number State | TX
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