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General NPI Number Information
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NPI Number | 1730025925
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Entity Type | Individual
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Provider Name | FAIZAN ALI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 84 W SOUTH ST
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City | WILKES BARRE
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State | PA
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Zip | 18766-0997
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Country | US
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Telephone | 570-408-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 319 E GRAND AVE
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City | TOWER CITY
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State | PA
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Zip | 17980-1125
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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 | PI125941
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License Number State | PA
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