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General NPI Number Information
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NPI Number | 1063153419
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Entity Type | Individual
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Provider Name | MAZEN ROBERT NUWAYHID PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 6046 HIGHWAY 53
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City | HARVEST
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State | AL
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Zip | 35749-9538
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Country | US
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Telephone | 256-858-9677
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Fax |
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Provider Business Mailing Address
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Address Line | 6046 HIGHWAY 53
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City | HARVEST
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State | AL
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Zip | 35749-9538
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Country | US
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Telephone | 256-858-9677
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Fax | 256-517-9319
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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 | 14420
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License Number State | AL
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