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General NPI Number Information
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NPI Number | 1487565099
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Entity Type | Individual
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Provider Name | NAILAH MOHIDEEN RPH
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 226 NEW BRUNSWICK AVE
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-4126
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Country | US
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Telephone | 908-257-0308
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Fax | 908-257-0306
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Provider Business Mailing Address
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Address Line | 9 IVES CT
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-1625
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Country | US
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Telephone | 848-234-8574
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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 | 28RI04431000
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License Number State | NJ
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