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General NPI Number Information
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NPI Number | 1982885224
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Entity Type | Individual
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Provider Name | MOMANA NASRIN BADRUL RPH
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Gender | Female
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 534 HUDSON ST
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City | NEW YORK
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State | NY
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Zip | 10014-6114
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Country | US
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Telephone | 646-486-1048
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Fax | 646-486-0635
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Provider Business Mailing Address
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Address Line | 4102 23RD RD FL 2
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City | ASTORIA
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State | NY
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Zip | 11105-1519
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Country | US
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Telephone | 718-726-9510
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Fax | 646-486-0635
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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 | 049312
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License Number State | NY
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