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General NPI Number Information
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NPI Number | 1477859569
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Entity Type | Individual
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Provider Name | SHAKIL A FAROOQUI
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Gender | Male
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 353 CROOKS AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-1660
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Country | US
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Telephone | 862-225-9432
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Fax |
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Provider Business Mailing Address
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Address Line | 945 W SIDE AVE APT. #2
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City | JERSEY CITY
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State | NJ
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Zip | 07306-6530
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Country | US
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Telephone |
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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 | 055445
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License Number State | NY
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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 | 28RI03623000
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License Number State | NJ
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