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General NPI Number Information
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NPI Number | 1336769652
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Entity Type | Individual
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Provider Name | MOHAMED SAJID SADIQ SHAIKH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 107A EAST ST
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City | HUTTO
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State | TX
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Zip | 78634-4323
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Country | US
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Telephone | 512-846-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 409 W FRONT ST STE 100-231
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City | HUTTO
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State | TX
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Zip | 78634-4204
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Country | US
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Telephone |
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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 | 52749
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License Number State | TX
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