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General NPI Number Information
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NPI Number | 1992978431
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Entity Type | Individual
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Provider Name | SEYED ALI NOWBAR R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 581 MCCRAY ST
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City | HOLLISTER
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State | CA
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Zip | 95023-4091
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Country | US
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Telephone | 831-630-3100
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Fax | 831-630-1120
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Provider Business Mailing Address
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Address Line | 581 MCCRAY ST
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City | HOLLISTER
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State | CA
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Zip | 95023-4091
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Country | US
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Telephone | 831-630-3100
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Fax | 831-630-1120
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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 | 45567
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License Number State | CA
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