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General NPI Number Information
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NPI Number | 1871090076
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Entity Type | Individual
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Provider Name | SHAZIYA BARKAT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 100 TECHNOLOGY CENTER DR
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City | STOUGHTON
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State | MA
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Zip | 02072-4710
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Country | US
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Telephone | 847-612-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 10303 MATEO TRL
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City | IRVING
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State | TX
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Zip | 75063-5088
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Country | US
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Telephone | 847-612-5595
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 064676
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License Number State | NY
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