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General NPI Number Information
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NPI Number | 1033164512
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Entity Type | Individual
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Provider Name | IQBAL HASAN BURNEY RPH
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8452 118TH AVE NORTH
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City | LARGO
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State | FL
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Zip | 33773
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Country | US
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Telephone | 727-394-6577
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Fax | 727-394-6542
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Provider Business Mailing Address
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Address Line | 17808 EAGLE TRACE ST
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City | TAMPA
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State | FL
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Zip | 33647-2582
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Country | US
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Telephone | 813-907-9709
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Fax | 727-394-6542
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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 | PS 32441
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License Number State | FL
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