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General NPI Number Information
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NPI Number | 1952548745
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Entity Type | Individual
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Provider Name | KAHLID HASAN ALI PHARM. D
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Gender | Male
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 25011 ALESSANDRO BLVD
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4312
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Country | US
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Telephone | 714-553-0959
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Fax | 951-681-1425
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Provider Business Mailing Address
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Address Line | 8005 HALBROOK TERRACE
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City | RIVERSIDE
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State | CA
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Zip | 92509
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Country | US
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Telephone | 714-553-0959
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Fax | 951-681-1425
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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 | RPH 61560
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License Number State | CA
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