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General NPI Number Information
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NPI Number | 1932500170
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Entity Type | Organization
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Legal Business Name | ONSHK LLC
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 2091 SAXON BLVD SUITE 100
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City | DELTONA
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State | FL
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Zip | 32725
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Country | US
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Telephone | 386-960-8962
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Fax | 386-960-8966
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Provider Business Mailing Address
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Address Line | 5722 BASSETT PL
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City | SANFORD
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State | FL
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Zip | 32771
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Country | US
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Telephone | 386-960-8962
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Fax | 386-960-8966
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Authorized Official
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Title or Position | OWNER
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Name | MR. PANKAJ PARULEKAR
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Credential | RPH.
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Telephone | 386-960-8962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH 28456
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License Number State | FL
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