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General NPI Number Information
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NPI Number | 1245388305
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Entity Type | Individual
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Provider Name | SHAILA TAHSEEN CHOWDHURY R. PH.
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 353 EMPIRE BLVD
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City | BROOKLYN
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State | NY
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Zip | 11225-3203
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Country | US
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Telephone | 718-467-0918
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Fax |
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Provider Business Mailing Address
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Address Line | 44 RIDGEWOOD RD
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City | TOWNSHIP OF WASHINGTON
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State | NJ
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Zip | 07676-5122
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Country | US
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Telephone | 201-594-0669
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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 | 044380
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License Number State | NY
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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 | 28R102548200
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License Number State | NJ
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