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General NPI Number Information
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NPI Number | 1912447467
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Entity Type | Organization
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Legal Business Name | SOMNATH DRUGS & MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 878 S IL ROUTE 59
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City | BARTLETT
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State | IL
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Zip | 60103-1633
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Country | US
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Telephone | 630-855-4100
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Fax | 630-855-4102
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Provider Business Mailing Address
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Address Line | 878 S IL ROUTE 59
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City | BARTLETT
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State | IL
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Zip | 60103-1633
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Country | US
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Telephone | 630-855-4100
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Fax | 630-855-4102
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DIPALI H PATEL
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Credential | CPHT
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Telephone | 630-855-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 054.020161
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054.020161
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License Number State | IL
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