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General NPI Number Information
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NPI Number | 1407284458
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Entity Type | Organization
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Legal Business Name | HSP INC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 3501 N SCOTTSDALE RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5649
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Country | US
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Telephone | 480-290-7051
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Fax | 480-290-7051
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Provider Business Mailing Address
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Address Line | 3501 N SCOTTSDALE RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5649
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Country | US
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Telephone | 480-290-7051
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Fax | 480-290-7051
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Authorized Official
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Title or Position | RPH
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Name | MOHAMED ESLAM ELMISSIREY
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Credential |
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Telephone | 480-444-6612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | Y005765
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License Number State | AZ
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