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General NPI Number Information
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NPI Number | 1326845629
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Entity Type | Individual
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Provider Name | AZZA ADHAMI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 328 E PIPELINE RD
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City | HURST
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State | TX
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Zip | 76053-5831
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Country | US
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Telephone | 817-494-3606
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Fax |
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Provider Business Mailing Address
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Address Line | 2344 MERLIN DR # A
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-3046
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Country | US
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Telephone | 682-560-1943
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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 | 48118
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License Number State | TX
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