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General NPI Number Information
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NPI Number | 1992162820
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Entity Type | Individual
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Provider Name | NADER HENRY
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Gender | Male
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 4850 W OAKLAND PARK BLVD
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-7260
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Country | US
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Telephone | 954-530-4793
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Fax | 954-870-6494
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Provider Business Mailing Address
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Address Line | 2469 SE 10TH CT
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7018
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Country | US
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Telephone | 703-231-9526
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Fax | 954-870-6494
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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 | 52873
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License Number State | FL
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