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General NPI Number Information
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NPI Number | 1083913412
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Entity Type | Individual
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Provider Name | ABRAR ALI KHAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 525 STATE ROUTE 515
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City | VERNON
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State | NJ
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Zip | 07462
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Country | US
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Telephone | 973-764-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 303 A FEDERAL HILL ROAD
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City | POMPTON LAKES
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State | NJ
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Zip | 07442-0744
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Country | US
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Telephone | 973-652-1481
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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 | 28RI03400400
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License Number State | NJ
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