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General NPI Number Information
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NPI Number | 1154209203
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Entity Type | Organization
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Legal Business Name | OPTIMALRX THERAPEUTICS
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2668 109TH AVE NE
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City | BLAINE
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State | MN
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Zip | 55449-5366
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Country | US
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Telephone | 763-339-6674
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Fax |
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Provider Business Mailing Address
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Address Line | 2668 109TH AVE NE
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City | BLAINE
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State | MN
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Zip | 55449-5366
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Country | US
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Telephone | 763-339-6674
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. ZAINAB KHATOON
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Credential | PHARMD
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Telephone | 763-339-6674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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