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General NPI Number Information
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NPI Number | 1295037976
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Entity Type | Organization
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Legal Business Name | SARAH786 INC
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 2245 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21231-3113
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Country | US
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Telephone | 410-675-6046
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Fax | 410-563-1147
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Provider Business Mailing Address
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Address Line | 2245 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21231-3113
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Country | US
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Telephone | 410-675-6046
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Fax | 410-563-1147
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYED SHAH
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Credential |
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Telephone | 954-288-5257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHNR001430
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 214001717
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P05416
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | NP000629
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 64001534A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | NRX0000846
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License Number State | DC
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