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General NPI Number Information
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NPI Number | 1497313399
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Entity Type | Individual
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Provider Name | AFTAB AHMED
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Gender | Male
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 5801 WOODSIDE AVE # 3
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City | WOODSIDE
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State | NY
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Zip | 11377
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Country | US
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Telephone | 929-522-0325
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Fax | 929-522-0567
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Provider Business Mailing Address
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Address Line | 1537 MARSHALL ST
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City | ELMONT
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State | NY
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Zip | 11003-1333
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Country | US
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Telephone | 954-683-7137
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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 | 048555
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License Number State | NY
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