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General NPI Number Information
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NPI Number | 1831323906
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Entity Type | Individual
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Provider Name | TAWFIQ IMAM RPH
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Gender | Male
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 540 CANAL ST, RITE AID PHARMACY #5880
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City | KING CITY
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State | CA
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Zip | 93930
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Country | US
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Telephone | 831-385-0886
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Fax |
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Provider Business Mailing Address
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Address Line | 1643 MADRID ST APT 4
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City | SALINAS
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State | CA
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Zip | 93906-8436
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Country | US
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Telephone | 646-226-2163
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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 | 60328
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License Number State | CA
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