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General NPI Number Information
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NPI Number | 1003096470
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Entity Type | Individual
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Provider Name | MOHAMED ELAMIN MEKKI -ELAMIN
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Gender | Male
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 437 LYELL AVE
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City | ROCHESTER
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State | NY
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Zip | 14606-1639
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Country | US
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Telephone | 585-647-2784
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Fax | 585-647-6673
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Provider Business Mailing Address
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Address Line | 83 CHURCHVIEW LN
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City | PITTSFORD
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State | NY
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Zip | 14534-4624
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Country | US
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Telephone | 585-662-5247
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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 | 049192
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License Number State | NY
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