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General NPI Number Information
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NPI Number | 1093424343
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Entity Type | Individual
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Provider Name | SHAMSUN NAHER SYED
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Gender | Female
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 337 GREAT RD
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City | BEDFORD
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State | MA
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Zip | 01730-2802
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Country | US
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Telephone | 781-271-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WILDWOOD DR
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City | BEDFORD
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State | MA
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Zip | 01730-1125
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Country | US
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Telephone | 781-275-6206
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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 | PH23320
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License Number State | MA
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