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General NPI Number Information
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NPI Number | 1902427875
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Entity Type | Individual
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Provider Name | GHASSAN BAHA SHUBBAR RPH
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Gender | Male
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Dates
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Enumeration Date | 05/02/2020
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Last Update Date | 05/02/2020
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Provider Practice Location Address
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Address Line | 4755 OGLETOWN STANTON RD
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City | NEWARK
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State | DE
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Zip | 19718-2200
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Country | US
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Telephone | 302-733-7360
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SHALE ST
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City | TOWNSEND
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State | DE
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Zip | 19734-2019
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Country | US
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Telephone | 302-357-8411
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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 | 28RI02372200
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License Number State | NJ
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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 | RP040668L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25464
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A1-0003373
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License Number State | DE
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