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General NPI Number Information
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NPI Number | 1689183956
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Entity Type | Individual
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Provider Name | AMIR A HADDAD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 09/29/2017
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Provider Practice Location Address
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Address Line | 11729 BELTSVILLE DR
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City | BELTSVILLE
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State | MD
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Zip | 20705-3147
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Country | US
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Telephone | 301-572-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 5908 MAPLEWOOD PARK PL
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City | BETHESDA
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State | MD
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Zip | 20814-1744
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Country | US
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Telephone | 310-703-9285
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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 | PH100002885
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202215321
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24960
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License Number State | MD
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