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General NPI Number Information
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NPI Number | 1689916777
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Entity Type | Individual
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Provider Name | BASIL JAWAID MAQBOOL PHARM-D
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Gender | Male
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 32675 TEMECULA PKWY SUITE B
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City | TEMECULA
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State | CA
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Zip | 92592-6917
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Country | US
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Telephone | 951-303-8300
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Fax | 951-303-8322
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Provider Business Mailing Address
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Address Line | 32605 TEMECULA PKWY SUITE 304
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City | TEMECULA
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State | CA
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Zip | 92592-6837
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Country | US
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Telephone | 951-302-4903
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Fax | 951-302-4904
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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 | 53170
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License Number State | CA
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