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General NPI Number Information
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NPI Number | 1093953424
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Entity Type | Individual
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Provider Name | MONA HANNA NASHED PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 1 BAY AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-4837
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Country | US
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Telephone | 973-429-6123
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Fax |
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Provider Business Mailing Address
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Address Line | 23 CARNEER AVE
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City | RUTHERFORD
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State | NJ
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Zip | 07070-1803
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Country | US
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Telephone | 201-805-3096
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 28RI02582300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RI02582300
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License Number State | NJ
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