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General NPI Number Information
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NPI Number | 1871889972
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Entity Type | Individual
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Provider Name | AHMED AL-TYAR PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 6950 E GOLF LINKS RD
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City | TUCSON
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State | AZ
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Zip | 85730-1017
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Country | US
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Telephone | 520-309-3216
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 N PASEO DE LOS RIOS APT 23205
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City | TUCSON
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State | AZ
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Zip | 85712-6051
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Country | US
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Telephone | 520-301-4271
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | S018239
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License Number State | AZ
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