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General NPI Number Information
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NPI Number | 1225445547
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Entity Type | Individual
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Provider Name | HOUSAM MOHAMED HEWADY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 1154 CLARKSON AVENUE
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City | BROOKLYN
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State | NY
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Zip | 11212
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Country | US
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Telephone | 718-345-6355
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Fax |
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Provider Business Mailing Address
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Address Line | 888 MONTGOMERY STREET APT F4
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City | BROOKLYN
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State | NY
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Zip | 11213
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Country | US
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Telephone | 347-761-7383
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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 | 059345
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License Number State | NY
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