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General NPI Number Information
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NPI Number | 1235606112
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Entity Type | Individual
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Provider Name | MUHAMMAD ATIF ISHTIAQ
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Gender | Male
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 10755 116TH ST
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City | JAMAICA
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State | NY
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Zip | 11419-2611
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Country | US
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Telephone | 347-635-9737
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Fax |
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Provider Business Mailing Address
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Address Line | 10755 116TH ST
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City | JAMAICA
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State | NY
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Zip | 11419-2611
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Country | US
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Telephone | 516-283-0075
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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 | PCT.0015098
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI04074800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 067587
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License Number State | NY
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