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General NPI Number Information
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NPI Number | 1942524111
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Entity Type | Individual
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Provider Name | ABDUL A SIDDIQUI RPH
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Gender | Male
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 1214 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11226-7047
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Country | US
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Telephone | 718-462-6527
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Fax |
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Provider Business Mailing Address
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Address Line | 75 HILLSIDE LANE
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City | NEW HYDE PARK
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State | NEW YORK
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Zip | 11040
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Country | UM
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Telephone | 516-225-1252
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Fax | 718-462-6479
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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 | 020726
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License Number State | NY
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