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General NPI Number Information
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NPI Number | 1598568412
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Entity Type | Individual
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Provider Name | RAMA ATWAN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3501 JOHNSON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5421
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Country | US
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Telephone | 954-987-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 HOLLYWOOD BLVD APT 308
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6856
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Country | US
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Telephone | 754-779-4938
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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 | PS67607
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License Number State | FL
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