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General NPI Number Information
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NPI Number | 1932538337
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Entity Type | Individual
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Provider Name | SAMER MOHAMAD HAMIDE PHARMACY DOCTORATE
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Gender | Male
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 1420 SAINT CHARLES ST
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City | HOUMA
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State | LA
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Zip | 70360-3935
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Country | US
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Telephone | 985-580-9990
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Fax | 985-520-0323
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Provider Business Mailing Address
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Address Line | 2420 MINNESOTA AVE
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City | METAIRIE
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State | LA
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Zip | 70003-5428
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Country | US
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Telephone | 504-296-4510
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Fax | 206-339-9358
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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 | T-15539
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License Number State | MS
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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 | 020361
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License Number State | LA
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