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General NPI Number Information
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NPI Number | 1497045603
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Entity Type | Individual
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Provider Name | ELARIA MAHROUS ISKANDER
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Gender | Female
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Dates
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Enumeration Date | 04/10/2011
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Last Update Date | 04/10/2011
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Provider Practice Location Address
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Address Line | 6325 FALLS OF NEUSE RD
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City | RALEIGH
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State | NC
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Zip | 27615-6877
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Country | US
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Telephone | 919-876-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 3216 BLUE RIDGE RD
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City | RALEIGH
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State | NC
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Zip | 27612-8009
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Country | US
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Telephone | 919-332-2037
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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 | 17895
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License Number State | NC
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