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General NPI Number Information
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NPI Number | 1457689408
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Entity Type | Individual
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Provider Name | SIMON N NJAKO PHARM D
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Gender | Male
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 9080 MARBACH RD WALGREENS.
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City | SAN ANTONIO
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State | TX
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Zip | 78245
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Country | US
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Telephone | 210-673-3082
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Fax |
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Provider Business Mailing Address
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Address Line | 25675 OVERLOOK PKWY # 2504
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City | SAN ANTONIO
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State | TX
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Zip | 78260-2508
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Country | US
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Telephone | 402-708-3570
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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 | 47740
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License Number State | TX
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