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General NPI Number Information
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NPI Number | 1659971174
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Entity Type | Individual
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Provider Name | AKM ALAUDDIN BHUIYAN
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Gender | Male
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 17861 S US HIGHWAY 441
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8651
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Country | US
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Telephone | 352-307-4410
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Fax | 352-307-4413
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Provider Business Mailing Address
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Address Line | 12359 NE 52ND LOOP
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City | OXFORD
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State | FL
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Zip | 34484-9613
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Country | US
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Telephone | 646-875-0948
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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 | PS52842
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License Number State | FL
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