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General NPI Number Information
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NPI Number | 1831703370
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Entity Type | Individual
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Provider Name | MAHMOUD M. ALI
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Gender | Male
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 38 MARKET ST
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City | PASSAIC
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State | NJ
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Zip | 07055-7404
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Country | US
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Telephone | 646-642-9681
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Fax | 973-396-8919
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Provider Business Mailing Address
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Address Line | 38 MARKET ST
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City | PASSAIC
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State | NJ
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Zip | 07055-7404
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Country | US
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Telephone | 646-642-9681
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Fax | 973-396-8919
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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 | 28RI04093100
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License Number State | NJ
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