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General NPI Number Information
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NPI Number | 1962593699
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Entity Type | Individual
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Provider Name | SHAH MOHAMMED YAHYA R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 390 W MAIN ST UNIT A
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City | CRISFIELD
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State | MD
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Zip | 21817
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Country | US
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Telephone | 410-968-1660
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Fax | 410-968-9102
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Provider Business Mailing Address
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Address Line | 390 W MAIN ST
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City | CRISFIELD
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State | MD
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Zip | 21817-1329
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Country | US
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Telephone | 410-968-1660
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Fax | 410-968-9102
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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 | 14326
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License Number State | MD
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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 | RP043949R
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License Number State | PA
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