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General NPI Number Information
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NPI Number | 1306721394
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Entity Type | Individual
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Provider Name | OMER AZIZ PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 12103 WESLEY CT
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City | FISHERS
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State | IN
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Zip | 46038-3049
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Country | US
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Telephone | 732-570-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 12103 WESLEY CT
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City | FISHERS
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State | IN
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Zip | 46038-3049
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Country | US
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Telephone | 732-570-9911
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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 | 28RI02900400
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License Number State | NJ
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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 | 26031426A
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License Number State | IN
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