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General NPI Number Information
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NPI Number | 1386036879
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Entity Type | Individual
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Provider Name | MEHREEN ELLAHI PHARM D
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Gender | Female
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 333 S BROADWAY
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City | HICKSVILLE
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State | NY
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Zip | 11801-5062
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Country | US
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Telephone | 888-988-1793
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Fax |
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Provider Business Mailing Address
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Address Line | 1379 NEWS AVE
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City | ELMONT
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State | NY
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Zip | 11003-3226
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Country | US
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Telephone | 516-356-1351
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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 | 060019
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License Number State | NY
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