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General NPI Number Information
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NPI Number | 1831667872
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Entity Type | Individual
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Provider Name | SIRATUN JANNAT KAZI PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 6115 METROPOLITAN AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-2644
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Country | US
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Telephone | 718-497-9192
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Fax | 718-497-4048
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Provider Business Mailing Address
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Address Line | 8508 56TH AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4828
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Country | US
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Telephone | 347-302-0403
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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 | 064800
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License Number State | NY
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