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General NPI Number Information
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NPI Number | 1184316457
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Entity Type | Individual
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Provider Name | HAYMISH KHAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 1043 E 5TH ST APT 102
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City | LONG BEACH
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State | CA
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Zip | 90802-1667
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Country | US
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Telephone | 562-370-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8265
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92615-8265
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Country | US
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Telephone | 562-209-2611
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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 | 17528
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License Number State | NE
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