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General NPI Number Information
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NPI Number | 1447433305
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Entity Type | Individual
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Provider Name | SYED HAMZA MALIK PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 9108 ROOSEVELT AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7910
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Country | US
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Telephone | 718-478-6078
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Fax |
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Provider Business Mailing Address
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Address Line | 15218 UNION TPKE APT PH-G
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City | FLUSHING
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State | NY
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Zip | 11367-3921
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Country | US
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Telephone | 718-986-4249
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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 | 052901
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License Number State | NY
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