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General NPI Number Information
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NPI Number | 1376039966
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Entity Type | Individual
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Provider Name | ALEEM RUBBUL KHAN PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 6111 BURNET RD
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City | AUSTIN
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State | TX
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Zip | 78757-3226
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Country | US
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Telephone | 512-454-9923
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Fax | 512-454-9866
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Provider Business Mailing Address
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Address Line | 2005 PALO DURO RD
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City | AUSTIN
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State | TX
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Zip | 78757-3242
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Country | US
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Telephone | 512-627-2857
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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 | 41846
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License Number State | TX
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