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General NPI Number Information
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NPI Number | 1972191948
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Entity Type | Organization
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Legal Business Name | ZENMAX LLC
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 2304 LYDIA HOLLOW DR
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City | GLEN MILLS
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State | PA
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Zip | 19342-1065
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Country | US
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Telephone | 484-658-3339
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Fax |
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Provider Business Mailing Address
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Address Line | 2304 LYDIA HOLLOW DR
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City | GLEN MILLS
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State | PA
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Zip | 19342-1065
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Country | US
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Telephone | 484-658-3339
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Fax | 866-421-4089
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Authorized Official
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Title or Position | MEMBER
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Name | AMAR PADMANABHUNI
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Credential | RPH
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Telephone | 484-658-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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