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General NPI Number Information
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NPI Number | 1841957420
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Entity Type | Individual
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Provider Name | AHMED S ELSAYED RPH
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Gender | Male
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 152 WASHINGTON AVE STORE #8775
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City | CEDARBURG
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State | WI
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Zip | 53012
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Country | US
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Telephone | 262-377-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 4224 W HAWTHORNE TRACE RD APT 204
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City | BROWN DEER
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State | WI
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Zip | 53209-1025
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Country | US
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Telephone | 470-331-1493
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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 | 21192-40
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License Number State | WI
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