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NPI 1194732461

NPI 1194732461 : NAEEM S MIAN R.PH : LYONS, NJ

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General NPI Number Information
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    NPI Number           |    1194732461
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    Entity Type          |    Individual 
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    Provider Name        |    NAEEM S MIAN R.PH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    151 KNOLLCROFT RD 
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    City                 |    LYONS
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    State                |    NJ
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    Zip                  |    07939-5001
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    Country              |    US
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    Telephone            |    908-607-6333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    152 WARREN AVE 
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    City                 |    BRIDGEWATER
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    State                |    NJ
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    Zip                  |    08807-1724
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    Country              |    US
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    Telephone            |    908-722-0377
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    Fax                  |    908-722-9260
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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       |    28RI02139500
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    License Number State |    NJ
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