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General NPI Number Information
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NPI Number | 1457631913
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Entity Type | Individual
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Provider Name | SAMY SHAKER ELSHERBINI PHARMD, JD, MBA
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Gender | Male
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Dates
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Enumeration Date | 08/27/2011
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2212 PLAZA DR
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-1131
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Country | US
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Telephone | 732-642-9812
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1045
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City | HARRISBURG
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State | NC
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Zip | 28075-1045
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Country | US
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Telephone | 704-794-4070
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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 | 22238
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License Number State | NC
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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 | NJ28RI0288400
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License Number State | NJ
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