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General NPI Number Information
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NPI Number | 1871245639
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Entity Type | Individual
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Provider Name | NADEEN KOTOB
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Gender | Female
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 260 E LINCOLN HWY
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City | COATESVILLE
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State | PA
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Zip | 19320-3455
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Country | US
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Telephone | 610-383-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 470 ELMER CIR
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City | READING
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State | PA
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Zip | 19605-9115
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Country | US
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Telephone | 484-516-1600
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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 | RP456495
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License Number State | PA
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