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General NPI Number Information
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NPI Number | 1679180350
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Entity Type | Individual
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Provider Name | ROBERT CHAD HAKIM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 9415 WHITE OAK AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91325-2337
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Country | US
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Telephone | 818-321-1731
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Fax |
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Provider Business Mailing Address
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Address Line | 17 W 20TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10011-3702
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Country | US
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Telephone |
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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 | 74771
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License Number State | CA
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