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General NPI Number Information
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NPI Number | 1033798210
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Entity Type | Individual
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Provider Name | MUHAMMAD ASAD SIDDIQUE RPH
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Gender | Male
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 170 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11223-3740
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Country | US
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Telephone | 718-946-0101
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Fax | 718-946-7511
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Provider Business Mailing Address
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Address Line | 24 BRIGHTON 4TH TER APT 2F
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City | BROOKLYN
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State | NY
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Zip | 11235-6719
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Country | US
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Telephone | 929-461-4357
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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 | 28RI04160200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 069582
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License Number State | NY
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