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General NPI Number Information
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NPI Number | 1346589207
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Entity Type | Individual
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Provider Name | NIRMEEN A IBRAHIM RPH
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 16 POCONO RD STE 115
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City | DENVILLE
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State | NJ
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Zip | 07834-2905
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Country | US
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Telephone | 862-209-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 4 FOX HILL DR
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City | WAYNE
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State | NJ
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Zip | 07470-2539
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Country | US
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Telephone | 201-317-9835
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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 | 28RI03065600
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License Number State | NJ
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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 | 048544
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License Number State | NY
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