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General NPI Number Information
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NPI Number | 1588831812
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Entity Type | Organization
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Legal Business Name | MAAF CORP
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 6730 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19149-2301
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Country | US
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Telephone | 215-771-7026
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Fax | 215-333-0110
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Provider Business Mailing Address
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Address Line | 9867 COWDEN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19115-2314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IHSANULLAH MAAF
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Credential |
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Telephone | 215-771-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481838
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License Number State | PA
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