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General NPI Number Information
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NPI Number | 1518625748
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Entity Type | Individual
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Provider Name | MOHAMMAD LOUAI ALSAMMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 12/05/2021
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 12890 TOUCHSTONE CIR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7648
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Country | US
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Telephone | 612-806-5414
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Fax |
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Provider Business Mailing Address
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Address Line | 42757 LOCKLEAR TER
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City | CHANTILLY
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State | VA
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Zip | 20152-6634
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Country | US
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Telephone | 612-806-5414
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Fax | 571-454-7001
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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 | 29701
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License Number State | MD
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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 | PH200004908
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 125459
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202221676
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License Number State | VA
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