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General NPI Number Information
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NPI Number | 1316716954
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Entity Type | Individual
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Provider Name | ARMON NAHAL PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 8936 LYNDALE AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55420-2742
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Country | US
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Telephone | 952-922-0098
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Fax |
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Provider Business Mailing Address
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Address Line | 210 W GRANT ST APT 509
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-2245
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Country | US
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Telephone | 612-360-8774
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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 | 114387
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License Number State | MN
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