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General NPI Number Information
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NPI Number | 1700770112
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Entity Type | Individual
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Provider Name | NISHAT ULLAH
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1111 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6702
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Country | US
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Telephone | 212-838-0195
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Fax |
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Provider Business Mailing Address
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Address Line | 449 EFFINGHAM AVE
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City | BRONX
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State | NY
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Zip | 10473-1610
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Country | US
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Telephone | 929-855-9596
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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 | 072592
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License Number State | NY
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