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General NPI Number Information
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NPI Number | 1881328342
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Entity Type | Individual
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Provider Name | MAISHA HOSSAIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-237-5370
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Fax |
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Provider Business Mailing Address
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Address Line | 27032 OAKWOOD CIR APT 107P
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City | OLMSTED FALLS
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State | OH
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Zip | 44138-3149
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Country | US
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Telephone | 614-260-7073
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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 | 03442071
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License Number State | OH
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