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General NPI Number Information
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NPI Number | 1992714950
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Entity Type | Organization
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Legal Business Name | DEEPA INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 11813 1/2 REISTERSTOWN RD
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City | REISTERSTOWN
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State | MD
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Zip | 21136
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Country | US
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Telephone | 410-833-3930
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Fax | 410-526-0175
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Provider Business Mailing Address
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Address Line | 11813 1/2 REISTERSTOWN RD
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City | REISTERSTOWN
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State | MD
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Zip | 21136
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Country | US
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Telephone | 410-833-3930
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Fax | 410-526-0175
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Authorized Official
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Title or Position | RPH OWNER
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Name | MR. KETAN ARVIND PATEL
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Credential | RPH
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Telephone | 410-833-3930
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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 | P01686
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License Number State | MD
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