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General NPI Number Information
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NPI Number | 1376275974
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Entity Type | Individual
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Provider Name | SUBUL KASHIF IR60810219
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Gender | Female
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 1195 BOBLETT ST
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City | BLAINE
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State | WA
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Zip | 98230-4062
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Country | US
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Telephone | 360-332-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 12817 ODESSA DR
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City | FRISCO
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State | TX
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Zip | 75035-2395
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Country | US
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Telephone | 604-445-1872
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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 | IR60810219
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License Number State | WA
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