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General NPI Number Information
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NPI Number | 1548495781
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Entity Type | Individual
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Provider Name | KRAIG MAHBUB RAHMAN PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 880 NORTHRIDGE CTR
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City | SALINAS
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State | CA
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Zip | 93906-2007
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Country | US
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Telephone | 831-449-2481
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Fax | 831-449-0934
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Provider Business Mailing Address
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Address Line | 6840 EAGLE RIDGE DR
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City | GILROY
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State | CA
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Zip | 95020-3032
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Country | US
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Telephone | 408-842-6395
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Fax | 408-842-6395
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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 | RPH50001
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License Number State | CA
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