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General NPI Number Information
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NPI Number | 1073616611
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Entity Type | Individual
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Provider Name | FAREED AHMED ARIF M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 510 N COLORADO ST STE A
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City | KENNEWICK
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State | WA
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Zip | 99336-7770
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Country | US
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Telephone | 509-735-6689
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Fax | 509-735-6998
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Provider Business Mailing Address
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Address Line | 550 GAGE BLVD STE 101
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City | RICHLAND
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State | WA
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Zip | 99352-9532
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Country | US
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Telephone | 509-942-3156
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Fax | 509-735-6998
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD00043592
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD00043592
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License Number State | WA
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