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General NPI Number Information
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NPI Number | 1770123408
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Entity Type | Individual
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Provider Name | FAUZI ATEEQ ALHUMAIDI PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2020
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Last Update Date | 04/09/2022
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Provider Practice Location Address
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Address Line | 1409 SHILOH RD
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City | PLANO
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State | TX
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Zip | 75074-4332
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Country | US
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Telephone | 469-661-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 SHILOH RD STE 170
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City | PLANO
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State | TX
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Zip | 75074-8258
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Country | US
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Telephone | 469-661-9007
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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 | 66579
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License Number State | TX
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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 | 5302412192
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License Number State | MI
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