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General NPI Number Information
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NPI Number | 1952621575
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Entity Type | Organization
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Legal Business Name | BALDEVBHAI KN INC
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 63 W MAIN ST
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City | APOPKA
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State | FL
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Zip | 32703-5155
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Country | US
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Telephone | 407-814-4843
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Fax | 407-814-4845
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Provider Business Mailing Address
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Address Line | 63 W MAIN ST
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City | APOPKA
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State | FL
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Zip | 32703-5155
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Country | US
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Telephone | 407-814-4843
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Fax | 407-814-4845
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | SATISH PATEL
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Credential |
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Telephone | 407-814-4843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24762
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License Number State | FL
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