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General NPI Number Information
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NPI Number | 1598163040
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Entity Type | Individual
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Provider Name | MOHAMED ELELIMY RPH
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Gender | Male
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 2901 MING AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93304-4144
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Country | US
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Telephone | 661-617-2001
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Fax | 661-617-2002
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Provider Business Mailing Address
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Address Line | 4000 SCENIC RIVER LN. APT#7M
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City | BAKERSFIELD
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State | CA
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Zip | 93308
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Country | US
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Telephone | 732-927-0801
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Fax |
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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 | 65483
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License Number State | CA
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