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General NPI Number Information
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NPI Number | 1366113540
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Entity Type | Individual
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Provider Name | WALAA HASHIM
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3440 WEST FM 544
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City | WYLIE
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State | TX
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Zip | 75098
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Country | US
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Telephone | 401-770-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 9202 AMBER OAKS WAY
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5001
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Country | US
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Telephone | 815-451-3743
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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 | 28730
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License Number State | MD
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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 | 051.303920
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 73824
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License Number State | TX
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