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General NPI Number Information
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NPI Number | 1346996410
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Entity Type | Individual
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Provider Name | HASSAN SAAD ISMAEL
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Gender | Male
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Dates
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Enumeration Date | 02/26/2022
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Last Update Date | 02/26/2022
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Provider Practice Location Address
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Address Line | 317 E KINGS ST
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City | AVENAL
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State | CA
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Zip | 93204-1630
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Country | US
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Telephone | 559-345-6737
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Fax |
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Provider Business Mailing Address
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Address Line | 9804 TUSCARORA DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2442
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Country | US
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Telephone | 951-463-7071
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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 | RPH85447
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License Number State | CA
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