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General NPI Number Information
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NPI Number | 1174123731
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Entity Type | Individual
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Provider Name | NOURAN ABOELREGAL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2020
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Last Update Date | 10/31/2020
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Provider Practice Location Address
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Address Line | 1470 MADISON AVE FL 4
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City | NEW YORK
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State | NY
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Zip | 10029-6542
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Country | US
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Telephone | 212-824-8824
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WATERSIDE PLZ APT 10A
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City | NEW YORK
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State | NY
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Zip | 10010-2684
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Country | US
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Telephone | 917-626-5843
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 052505
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License Number State | NY
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