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General NPI Number Information
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NPI Number | 1881418689
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Entity Type | Individual
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Provider Name | CYRINE HAIDAR PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/09/2024
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 262 DANNY THOMAS PL # 313
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City | MEMPHIS
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State | TN
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Zip | 38105-3678
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Country | US
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Telephone | 901-595-3246
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Fax |
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Provider Business Mailing Address
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Address Line | 262 DANNY THOMAS PL # 313
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City | MEMPHIS
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State | TN
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Zip | 38105-3678
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Country | US
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Telephone | 901-595-3246
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 304006147
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 506006147
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License Number State | TN
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Taxonomy #3
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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 | 22523
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License Number State | TN
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