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General NPI Number Information
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NPI Number | 1013830090
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Entity Type | Individual
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Provider Name | MUHAMMAD FAROOQ AZAM
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Gender | Male
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 501 S RANCHO DR STE G46
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City | LAS VEGAS
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State | NV
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Zip | 89106-4835
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Country | US
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Telephone | 702-912-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 OSSA ST UNIT 1101
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City | HENDERSON
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State | NV
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Zip | 89052-8824
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Country | US
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Telephone | 702-661-7945
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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 | 25254
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License Number State | NV
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