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General NPI Number Information
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NPI Number | 1205468386
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Entity Type | Individual
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Provider Name | NEVEEN NOFAL RPH
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Gender | Female
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 1408 SUMMIT AVE STE 2
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City | PLANO
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State | TX
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Zip | 75074-8135
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Country | US
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Telephone | 972-726-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 500 AVALANCHE DR
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City | MURPHY
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State | TX
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Zip | 75094-3675
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Country | US
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Telephone | 865-765-1771
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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 | 47149
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License Number State | TX
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