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General NPI Number Information
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NPI Number | 1083938427
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Entity Type | Individual
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Provider Name | MOHAMED TAHA SARG RPH
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Gender | Male
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Dates
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Enumeration Date | 03/14/2010
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Last Update Date | 03/14/2010
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Provider Practice Location Address
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Address Line | 22 S GREENE ST CENTRAL PHARMACY
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-5644
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Fax | 410-328-8474
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Provider Business Mailing Address
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Address Line | 22 S GREENE ST CENTRAL PHARMACY
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-5644
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Fax | 410-328-8474
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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 | 18903
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License Number State | MD
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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 | RP443486
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302037493
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License Number State | MI
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