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General NPI Number Information
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NPI Number | 1477139681
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Entity Type | Individual
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Provider Name | M F MONOWAR HOSSAIN PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 5550 CHAMBLEE DUNWOODY RD
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City | DUNWOODY
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State | GA
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Zip | 30338-4111
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Country | US
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Telephone | 770-776-4351
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Fax |
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Provider Business Mailing Address
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Address Line | 116 CAMERON BRIDGE WAY
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City | JOHNS CREEK
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State | GA
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Zip | 30022-4918
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Country | US
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Telephone | 404-528-7945
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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 | RPH032747
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License Number State | GA
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