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General NPI Number Information
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NPI Number | 1710181656
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Entity Type | Individual
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Provider Name | AHMAD K ALTAF RPH
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 246 SCANTIC ROAD
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City | EAST WINDSOR
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State | CT
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Zip | 06088-9735
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Country | US
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Telephone | 860-627-7008
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Fax |
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Provider Business Mailing Address
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Address Line | 246 SCANTIC RD P. O. BOX 0238
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City | EAST WINDSOR
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State | CT
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Zip | 06088-9735
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Country | US
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Telephone | 860-627-7008
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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 | 5129
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License Number State | CT
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