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General NPI Number Information
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NPI Number | 1346572336
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Entity Type | Individual
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Provider Name | MOHAMMED RAHMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 500 COMMACK RD STE 100A
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City | COMMACK
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State | NY
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Zip | 11725-5020
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Country | US
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Telephone | 631-486-9898
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Fax | 631-486-9895
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Provider Business Mailing Address
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Address Line | 348 NASSAU RD
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City | ROOSEVELT
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State | NY
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Zip | 11575-1343
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Country | US
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Telephone | 516-442-4995
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Fax | 516-442-4998
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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 | 050702
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License Number State | NY
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