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General NPI Number Information
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NPI Number | 1891201083
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Entity Type | Individual
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Provider Name | ZILLE HUMA QURESHI RPH
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Gender | Female
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 95 LINCOLN DR
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-2717
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Country | US
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Telephone | 631-465-4293
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Fax |
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Provider Business Mailing Address
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Address Line | 95 LINCOLN DR
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-2717
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Country | US
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Telephone |
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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 | 040074
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License Number State | NY
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