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General NPI Number Information
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NPI Number | 1881917284
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Entity Type | Individual
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Provider Name | MARIAM HAJJARI-LIFARJANI PHARM D
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Gender | Female
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 03/12/2010
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Provider Practice Location Address
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Address Line | 1535 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10075-0504
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Country | US
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Telephone | 212-327-4757
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 89TH ST APT 21C
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City | NEW YORK
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State | NY
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Zip | 10128-4304
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Country | US
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Telephone | 212-369-1783
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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 | 052494
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License Number State | NY
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