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General NPI Number Information
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NPI Number | 1881964344
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Entity Type | Individual
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Provider Name | MAGDI MIKHAIL BISHARA PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 9202 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-5502
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Country | US
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Telephone | 813-985-8521
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Fax |
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Provider Business Mailing Address
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Address Line | 2227 KENT PL
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City | CLEARWATER
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State | FL
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Zip | 33764-6624
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Country | US
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Telephone | 727-804-0606
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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 | PS47410
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License Number State | FL
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