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General NPI Number Information
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NPI Number | 1710227020
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Entity Type | Individual
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Provider Name | RAFIK MOHEB HANNA PHARM.D., M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 8001 LINCOLN AVE SUITE 800
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City | SKOKIE
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State | IL
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Zip | 60077-3695
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Country | US
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Telephone | 770-861-0227
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Fax |
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Provider Business Mailing Address
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Address Line | 2364 HOLLY RD
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City | MARIETTA
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State | GA
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Zip | 30066-5764
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Country | US
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Telephone | 770-861-0227
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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 | RPH024468
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License Number State | GA
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