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General NPI Number Information
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NPI Number | 1881979037
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Entity Type | Individual
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Provider Name | PARAG M MANIAR R.PH.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 262 N STATE STREET
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City | HAMPSHIRE
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State | IL
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Zip | 60140-9720
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Country | US
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Telephone | 847-683-2244
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Fax | 847-683-2277
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Provider Business Mailing Address
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Address Line | 10683 NANTUCKET LN
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City | HUNTLEY
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State | IL
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Zip | 60142-4029
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Country | US
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Telephone | 847-683-2244
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Fax | 847-683-2277
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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 | 051039732
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License Number State | IL
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