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General NPI Number Information
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NPI Number | 1275596322
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Entity Type | Individual
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Provider Name | MR. RAMADAN HOSNYELABD RAJAB
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 JEFFERSON BARRACKS DR
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City | SAINT LOUIS
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State | MO
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Zip | 63125-4181
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Country | US
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Telephone | 314-487-0400
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Fax | 314-894-5731
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Provider Business Mailing Address
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Address Line | 832 COURTLAND PL
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City | MANCHESTER
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State | MO
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Zip | 63021-6730
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Country | US
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Telephone | 636-227-8178
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 36204
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License Number State | NY
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