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General NPI Number Information
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NPI Number | 1205431467
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Entity Type | Individual
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Provider Name | EMAD Z WAHBA
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Gender | Male
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | CVS PHARMACY 15 I ST SE
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City | WASHIGTON
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State | DC
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Zip | 20003
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Country | US
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Telephone | 202-572-5575
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Fax | 202-790-6082
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Provider Business Mailing Address
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Address Line | CVS PHARMACY 15 I ST SE
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City | WASHIGTON
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State | DC
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Zip | 20003
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Country | US
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Telephone | 202-572-5575
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Fax | 202-790-6082
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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 | PH100000665
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License Number State | DC
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