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General NPI Number Information
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NPI Number | 1790866192
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Entity Type | Individual
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Provider Name | AYMAN M SALIB RPH
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 12777 ATLANTIC BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32225-7120
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Country | US
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Telephone | 904-221-9918
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Fax | 904-680-0576
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Provider Business Mailing Address
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Address Line | 12220 MANTLE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32224-9655
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Country | US
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Telephone | 914-806-0124
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Fax | 904-564-2588
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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 | PS41106
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License Number State | FL
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