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General NPI Number Information
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NPI Number | 1164144796
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Entity Type | Individual
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Provider Name | MOMIN HAMID
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Gender | Male
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 27 MORRISTOWN RD
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City | MATAWAN
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State | NJ
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Zip | 07747-3595
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Country | US
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Telephone | 732-583-4347
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Fax |
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Provider Business Mailing Address
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Address Line | 2 VERNON ST
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City | PARLIN
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State | NJ
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Zip | 08859-1136
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Country | US
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Telephone | 516-288-1691
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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 | 28RI04072900
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License Number State | NJ
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