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General NPI Number Information
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NPI Number | 1821983909
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Entity Type | Individual
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Provider Name | ESSSAM Y ALDOAIS RPH
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Gender | Male
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 9701 LIBERTY AVE
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City | OZONE PARK
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State | NY
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Zip | 11417-1651
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Country | US
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Telephone | 718-835-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 8503 125TH ST # A
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City | KEW GARDENS
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State | NY
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Zip | 11415-3310
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Country | US
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Telephone | 347-260-9543
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 069640
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License Number State | NY
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