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General NPI Number Information
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NPI Number | 1578558342
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Entity Type | Individual
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Provider Name | AMGAD H. GIRGIS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3300 SW 15TH ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8126
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Country | US
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Telephone | 954-354-0530
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Fax | 954-354-0538
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Provider Business Mailing Address
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Address Line | 3300 SW 15TH ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8126
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Country | US
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Telephone | 954-354-0530
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Fax | 954-354-0538
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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 | PH16660
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License Number State | FL
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