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General NPI Number Information
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NPI Number | 1700416658
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Entity Type | Individual
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Provider Name | RUKAYAT AZEEZ RPH
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Gender | Female
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Dates
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Enumeration Date | 01/20/2020
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 990 SINGLETON BLVD APT 1554
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City | DALLAS
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State | TX
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Zip | 75212-5276
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Country | US
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Telephone | 214-713-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 VANTAGE ST # 1554
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City | DALLAS
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State | TX
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Zip | 75207-6101
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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 | 59640
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License Number State | TX
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