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General NPI Number Information
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NPI Number | 1831884899
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Entity Type | Individual
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Provider Name | NAZO AFZAL
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 8421 BROAD ST
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City | MC LEAN
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State | VA
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Zip | 22102-3704
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Country | US
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Telephone | 209-814-0383
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Fax |
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Provider Business Mailing Address
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Address Line | 994 MANDEVILLE ST
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City | MANTECA
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State | CA
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Zip | 95337-7950
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Country | US
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Telephone |
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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 | 0202222640
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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