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General NPI Number Information
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NPI Number | 1649824020
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Entity Type | Individual
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Provider Name | MINA N SOLIMAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 2271 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3903
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Country | US
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Telephone | 718-698-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 68 VILLANOVA ST
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6032
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Country | US
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Telephone | 646-236-4507
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 065507
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 065507
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License Number State | NY
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