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General NPI Number Information
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NPI Number | 1649936030
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Entity Type | Individual
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Provider Name | FATIMAH MOSAAD PHARMD RPH
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Gender | Female
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 101 CRAWFORDS CORNER RD STE 1116C
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City | HOLMDEL
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State | NJ
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Zip | 07733-1977
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Country | US
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Telephone | 732-285-4064
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Fax |
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Provider Business Mailing Address
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Address Line | 70 PIN OAK DR
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-5531
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Country | US
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Telephone | 732-533-7582
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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 | 28RI04207400
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License Number State | NJ
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