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General NPI Number Information
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NPI Number | 1760664908
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Entity Type | Individual
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Provider Name | ASHRAF ASHAMALLA R.PH.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 651 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-4710
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Country | US
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Telephone | 201-339-1200
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Fax | 201-339-1144
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Provider Business Mailing Address
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Address Line | 101 DUTCH RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2507
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Country | US
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Telephone | 201-993-0978
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Fax | 201-339-1144
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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 | 28RI028217
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 046995-1
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License Number State | NY
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