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General NPI Number Information
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NPI Number | 1467742007
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Entity Type | Individual
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Provider Name | MR. HASSAN ABDELRAHMAN
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Gender | Male
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Dates
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Enumeration Date | 04/16/2011
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Last Update Date | 04/17/2011
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Provider Practice Location Address
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Address Line | 2035 N SHARON AMITY RD
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City | CHARLOTTE
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State | NC
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Zip | 28205-7923
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Country | US
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Telephone | 704-535-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 4610 HACKBERRY GROVE CIR APT # 2221
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City | CHARLOTTE
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State | NC
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Zip | 28269
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Country | US
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Telephone | 760-391-3849
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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 | 18612
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License Number State | NC
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