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General NPI Number Information
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NPI Number | 1053828475
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Entity Type | Individual
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Provider Name | AYAT ALJUBOORI
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Gender | Female
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 3901 W INA RD
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City | TUCSON
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State | AZ
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Zip | 85741-2206
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Country | US
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Telephone | 520-918-3602
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Fax |
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Provider Business Mailing Address
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Address Line | 8110 E SPEEDWAY BLVD APT 4240
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City | TUCSON
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State | AZ
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Zip | 85710-1791
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Country | US
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Telephone | 413-557-0027
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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 | S023065
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License Number State | AK
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