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General NPI Number Information
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NPI Number | 1346703048
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Entity Type | Individual
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Provider Name | NADEAR HASSAN RPH
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Gender | Male
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 338 WASHINGTON AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-5231
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Country | US
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Telephone | 973-759-1959
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Fax |
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Provider Business Mailing Address
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Address Line | 6219 RIVERSIDE STATION BLVD
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City | SECAUCUS
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State | NJ
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Zip | 07094-4421
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Country | US
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Telephone | 201-779-8562
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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 | 28RI03862600
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License Number State | NJ
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