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General NPI Number Information
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NPI Number | 1598361826
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Entity Type | Individual
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Provider Name | ABDULRAHMAN RAHMAN ALJETAWI RPH
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Gender | Male
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 1145 MAIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2353
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Country | US
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Telephone | 973-900-6660
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Fax | 888-490-5575
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Provider Business Mailing Address
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Address Line | 94 PANCAKE HOLLOW DR
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City | WAYNE
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State | NJ
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Zip | 07470-3205
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Country | US
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Telephone | 862-400-7075
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 28RI03867700
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License Number State | NJ
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