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General NPI Number Information
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NPI Number | 1073156766
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Entity Type | Individual
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Provider Name | ZAKI WADIE ZAKI GHOBRIAL
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Gender | Male
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 33 MEADOW LN UNIT 7
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City | MARTINSBURG
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State | WV
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Zip | 25404-3807
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Country | US
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Telephone | 681-247-2385
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Fax |
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Provider Business Mailing Address
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Address Line | 14461 SAINT GERMAIN DR
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City | CENTREVILLE
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State | VA
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Zip | 20121-2225
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Country | US
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Telephone | 703-687-7693
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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 | RP0010271
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License Number State | WV
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