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General NPI Number Information
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NPI Number | 1720266992
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Entity Type | Individual
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Provider Name | MOHAMMED NAEEM KHAN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2008
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 1 WESTCHESTER AVE
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City | PORT CHESTER
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State | NY
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Zip | 10573-4314
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Country | US
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Telephone | 914-935-3102
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Fax | 914-935-3120
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Provider Business Mailing Address
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Address Line | 108 HELENA AVE
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City | YONKERS
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State | NY
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Zip | 10710-3026
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Country | US
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Telephone | 914-935-3102
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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 | 050486
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License Number State | NY
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