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General NPI Number Information
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NPI Number | 1922397389
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Entity Type | Individual
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Provider Name | REETHA OOMMEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 5600 N 23RD ST
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City | MCALLEN
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State | TX
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Zip | 78504-3959
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Country | US
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Telephone | 956-683-1762
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 MACARTHUR RD
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City | WHITEHALL
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State | PA
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Zip | 18052-4520
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Country | US
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Telephone | 610-740-9401
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Fax | 610-740-9406
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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 | RP442850
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License Number State | PA
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