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General NPI Number Information
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NPI Number | 1952684904
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Entity Type | Individual
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Provider Name | SANDEEP AKELLA PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 655 MIDDLE COUNTRY RD
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City | SELDEN
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State | NY
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Zip | 11784-2520
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Country | US
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Telephone | 631-451-6849
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Fax |
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Provider Business Mailing Address
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Address Line | 438 E 149TH ST
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City | BRONX
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State | NY
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Zip | 10455-1304
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Country | US
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Telephone | 718-402-0202
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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 | 056284
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License Number State | NY
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