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General NPI Number Information
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NPI Number | 1740428887
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Entity Type | Individual
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Provider Name | HANAN MUBARAK SHABAN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 1055 CLERMONT ST PHARMACY SERVICES
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 303-399-8020
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Fax | 303-393-4624
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Provider Business Mailing Address
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Address Line | 8797 FORREST DR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-2940
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Country | US
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Telephone | 303-399-8020
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Fax | 303-393-4624
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 11321
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License Number State | CO
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