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General NPI Number Information
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NPI Number | 1891376828
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Entity Type | Individual
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Provider Name | WAFAA EWIS
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Gender | Female
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 963 ELM COMMONS DR APT 201
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City | ROCKY HILL
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State | CT
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Zip | 06067-1815
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Country | US
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Telephone | 470-289-9572
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Fax |
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Provider Business Mailing Address
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Address Line | 963 ELM COMMONS DR APT 302201
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City | ROCKY HILL
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State | CT
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Zip | 06067-1831
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Country | US
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Telephone | 470-289-9572
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PCT15526
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License Number State | CT
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