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General NPI Number Information
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NPI Number | 1215339551
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Entity Type | Individual
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Provider Name | JAFAR SEIFE AHMED PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 911 S MAIN ST
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City | CENTERVILLE
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State | OH
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Zip | 45458-5801
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Country | US
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Telephone | 937-291-3707
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 S CHALET CIR APARTMENT
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City | BEAVERCREEK
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State | OH
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Zip | 45431-3422
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Country | US
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Telephone | 323-842-6033
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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 | 03234216
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License Number State | OH
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