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General NPI Number Information
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NPI Number | 1396249454
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Entity Type | Individual
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Provider Name | BUSHRA LIAQAT PHARM D
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Gender | Female
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 108 ESTATES BLVD APT 216
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City | HAMILTON
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State | NJ
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Zip | 08610-2122
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Country | US
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Telephone | 718-300-9618
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Fax |
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Provider Business Mailing Address
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Address Line | 108 ESTATES BLVD APT 216
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City | HAMILTON
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State | NJ
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Zip | 08610-2122
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Country | US
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Telephone | 718-300-9618
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 007274
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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 | 062527-1
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License Number State | NY
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