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General NPI Number Information
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NPI Number | 1770077968
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Entity Type | Organization
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Legal Business Name | SANA GLOBAL INC
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 1145 MAIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2353
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Country | US
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Telephone | 862-400-7075
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Fax | 973-773-7001
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Provider Business Mailing Address
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Address Line | 1145 MAIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2353
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Country | US
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Telephone | 973-900-6660
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Fax | 888-490-5575
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Authorized Official
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Title or Position | OWNER
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Name | ABDULRAHMAN ALJETAWI
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Credential | RPH
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Telephone | 973-773-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00765100
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License Number State | NJ
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