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General NPI Number Information
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NPI Number | 1891837894
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Entity Type | Individual
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Provider Name | RAJESHWAR KONDOOR RPH
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4027 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032-1536
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Country | US
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Telephone | 212-923-6000
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Fax | 212-923-8509
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Provider Business Mailing Address
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Address Line | 1908 DEERCREEK DRIVE
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City | PLAINSBORO
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State | NJ
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Zip | 08536
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Country | US
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Telephone | 732-475-2757
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Fax | 212-923-8509
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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 | 050652
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License Number State | NY
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