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General NPI Number Information
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NPI Number | 1417279704
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Entity Type | Individual
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Provider Name | HAMEED A MIRZA R.PH
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Gender | Male
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Dates
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Enumeration Date | 02/27/2010
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Last Update Date | 02/27/2010
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Provider Practice Location Address
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Address Line | 101 SHERMAN AVE
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City | NEW YORK
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State | NY
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Zip | 10034-5626
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Country | US
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Telephone | 212-567-2753
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Fax | 212-942-1668
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Provider Business Mailing Address
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Address Line | PO BOX 3048
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City | JERSEY CITY
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State | NJ
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Zip | 07303-3048
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Country | US
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Telephone | 551-208-4243
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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 | 039019
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License Number State | NY
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