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General NPI Number Information
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NPI Number | 1376973495
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Entity Type | Individual
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Provider Name | SAHAR SHENOUDA PHARMACY
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Gender | Female
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 6823 FORT HAMILTON PKWY
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City | BROOKLYN
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State | NY
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Zip | 11219-5856
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Country | US
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Telephone | 718-745-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 6823 FORT HAMILTON PKWY
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City | BROOKLYN
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State | NY
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Zip | 11219-5856
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Country | US
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Telephone | 718-745-0733
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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 | 048962 DUP
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License Number State | NY
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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 | 5302036569
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License Number State | MI
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