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General NPI Number Information
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NPI Number | 1922350958
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Entity Type | Individual
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Provider Name | SAILAJA NALAM
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 702 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11217-2613
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Country | US
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Telephone | 718-834-6368
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Fax | 718-330-2503
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Provider Business Mailing Address
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Address Line | 131 WINDING WOOD DR APT 1A
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City | SAYREVILLE
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State | NJ
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Zip | 08872-2756
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Country | US
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Telephone | 908-917-8310
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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 | 057493
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03523800
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License Number State | NJ
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