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General NPI Number Information
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NPI Number | 1689014847
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Entity Type | Organization
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Legal Business Name | ADHAM ENTERPRISES LLC
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 2915 LINDEN AVE
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City | DAYTON
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State | OH
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Zip | 45410-3038
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Country | US
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Telephone | 937-256-5100
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Fax | 937-256-5101
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Provider Business Mailing Address
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Address Line | 2915 LINDEN AVE
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City | DAYTON
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State | OH
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Zip | 45410-3038
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Country | US
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Telephone | 937-256-5100
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Fax | 937-256-5101
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Authorized Official
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Title or Position | RPH/OWNER
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Name | HOUSAM ABDELHAMID
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Credential |
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Telephone | 937-256-5100
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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 | 022301900
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License Number State | OH
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