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General NPI Number Information
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NPI Number | 1891104345
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Entity Type | Individual
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Provider Name | ALAA HAMDAN
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Gender | Male
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 10048 CHARLOTTE HWY
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City | INDIAN LAND
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State | SC
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Zip | 29707-7135
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Country | US
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Telephone | 803-802-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 6102 BIRKDALE VALLEY DR APT 333
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City | CHARLOTTE
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State | NC
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Zip | 28277-2599
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Country | US
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Telephone | 704-726-7902
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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 | 14370
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22796
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License Number State | NC
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