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General NPI Number Information
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NPI Number | 1639733157
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Entity Type | Individual
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Provider Name | SARA IKHLAQ PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 609 BERLIN CROSS KEYS RD STE D1
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-9535
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Country | US
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Telephone | 856-818-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 44 RED FOX TRL
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-3710
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Country | US
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Telephone | 443-366-2075
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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 | 26354
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License Number State | MD
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