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General NPI Number Information
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NPI Number | 1336743640
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Entity Type | Individual
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Provider Name | MR. MURTAZA HUSSAIN NAGPURWALA
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Gender | Male
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Dates
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Enumeration Date | 11/27/2020
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 1235 INDIAN TRAIL LILBURN RD STE B100
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City | NORCROSS
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State | GA
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Zip | 30093-5780
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Country | US
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Telephone | 770-858-5008
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Fax | 770-858-5801
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Provider Business Mailing Address
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Address Line | 1235 INDIAN TRAIL LILBURN RD STE B100
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City | NORCROSS
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State | GA
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Zip | 30093-5780
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Country | US
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Telephone | 770-858-5008
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Fax | 770-858-5801
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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 | 5302036777
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License Number State | MI
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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 | RPH024146
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License Number State | GA
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