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General NPI Number Information
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NPI Number | 1780308254
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Entity Type | Individual
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Provider Name | MOHSEN HASSANEIN
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Gender | Male
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 2596 TINKLING SPRING RD
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City | STUARTS DRAFT
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State | VA
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Zip | 24477-2797
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Country | US
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Telephone | 540-218-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 WOODS PL
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City | ALEXANDRIA
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State | VA
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Zip | 22302-3014
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Country | US
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Telephone | 646-696-7117
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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 | 0202220801
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License Number State | VA
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