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General NPI Number Information
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NPI Number | 1912661299
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Entity Type | Individual
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Provider Name | RAWAN HUSSEIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/24/2021
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Last Update Date | 10/24/2021
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Provider Practice Location Address
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Address Line | 1185 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11216-1810
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Country | US
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Telephone | 718-484-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 70 VAN SICKLEN ST
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City | BROOKLYN
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State | NY
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Zip | 11223-2739
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Country | US
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Telephone | 347-658-9977
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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 | 068512
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License Number State | NY
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