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General NPI Number Information
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NPI Number | 1003486705
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Entity Type | Individual
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Provider Name | SHAUKAT YOUSAF
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Gender | Male
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 5550 E FALL CREEK PARKWAY NORTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-1453
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Country | US
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Telephone | 317-614-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 11915 GRAY EAGLE DR
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City | FISHERS
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State | IN
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Zip | 46037-8114
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Country | US
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Telephone | 317-504-1436
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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 | 26022058A
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License Number State | IN
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