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General NPI Number Information
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NPI Number | 1740931385
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Entity Type | Individual
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Provider Name | SUNNA AHMAD
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Gender | Female
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 71 SPRINGSIDE RD
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City | WESTAMPTON
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State | NJ
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Zip | 08060-9613
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Country | US
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Telephone | 609-871-9100
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Fax | 609-880-0286
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Provider Business Mailing Address
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Address Line | 231 COUNTRY CLUB DR
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3979
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Country | US
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Telephone | 609-315-1324
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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 | 28RI04011100
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License Number State | NJ
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