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General NPI Number Information
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NPI Number | 1568612471
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Entity Type | Individual
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Provider Name | MOHAMMED ALI RPH
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Gender | Male
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Dates
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Enumeration Date | 09/27/2008
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Last Update Date | 09/27/2008
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Provider Practice Location Address
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Address Line | 251 E 188TH ST
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City | BRONX
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State | NY
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Zip | 10458-5301
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Country | US
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Telephone | 718-733-6722
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Fax | 718-733-0128
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Provider Business Mailing Address
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Address Line | 174 ALPINE DR
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City | PARAMUS
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State | NJ
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Zip | 07652-1322
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Country | US
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Telephone | 201-909-0971
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Fax | 718-733-0128
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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 | 29791
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License Number State | NY
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