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General NPI Number Information
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NPI Number | 1659814580
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Entity Type | Organization
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Legal Business Name | KARIM MOURAD
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Dates
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Enumeration Date | 11/26/2016
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Last Update Date | 11/26/2016
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Provider Practice Location Address
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Address Line | 999 HIAWATHA PL S APT 204
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City | SEATTLE
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State | WA
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Zip | 98144-2860
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Country | US
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Telephone | 904-535-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 999 HIAWATHA PL S APT 204
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City | SEATTLE
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State | WA
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Zip | 98144-2857
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Country | US
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Telephone | 904-535-6136
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | KARIM MOURAD
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Credential | PHARMD
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Telephone | 904-535-6136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PH 60680045
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License Number State | WA
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