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General NPI Number Information
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NPI Number | 1447675574
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Entity Type | Individual
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Provider Name | MOHAMED I IBRAHIM RPH, CSP
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Gender | Male
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 4901 N 4TH AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57104-0444
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Country | US
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Telephone | 800-835-3784
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Fax | 800-973-7150
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Provider Business Mailing Address
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Address Line | 4901 N 4TH AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57104-0444
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Country | US
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Telephone | 800-835-3784
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Fax | 800-973-7150
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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 | 63430
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License Number State | TX
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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 | 6130
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License Number State | SD
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