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General NPI Number Information
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NPI Number | 1982985289
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Entity Type | Individual
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Provider Name | ROHIT PANDYA RPH
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Gender | Male
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 9301 WAUKEGAN RD
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City | MORTON GROVE
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State | IL
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Zip | 60053-1313
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Country | US
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Telephone | 847-965-2444
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Fax | 847-966-7133
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Provider Business Mailing Address
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Address Line | 5038 JARVIS AVE
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City | SKOKIE
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State | IL
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Zip | 60077-3312
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Country | US
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Telephone | 847-676-8699
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Fax | 847-966-7133
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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 | 051-033159
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License Number State | IL
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