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General NPI Number Information
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NPI Number | 1942604376
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Entity Type | Organization
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Legal Business Name | NAVYA HEALTH LLC
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 659 NE US HIGHWAY 19 UNIT 2
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4240
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Country | US
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Telephone | 352-228-8929
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Fax |
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Provider Business Mailing Address
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Address Line | 659 NE US HIGHWAY 19 UNIT 2
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4240
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Country | US
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Telephone | 352-228-8929
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. GAURAV MAHATMA
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Credential |
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Telephone | 352-228-8929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PH28629
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License Number State | FL
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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 | PH28629
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License Number State | FL
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