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General NPI Number Information
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NPI Number | 1891101143
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Entity Type | Individual
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Provider Name | RAJESWARA CHARY PINNOJI
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Gender | Male
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 1021 E PINE ST WALMART
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City | DEMING
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State | NM
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Zip | 88030-7009
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Country | US
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Telephone | 575-546-6746
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Fax | 575-546-6748
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Provider Business Mailing Address
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Address Line | 3245 E UNIVERSITY AVE APT 1012
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City | LAS CRUCES
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State | NM
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Zip | 88011-9137
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Country | US
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Telephone | 318-344-1512
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Fax | 575-546-6748
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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 | RP00007729
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License Number State | NM
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