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NPI 1093962284

NPI 1093962284 : RASHNA FARHAD GINWALLA M.D. : FAIRBANKS, AK

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General NPI Number Information
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    NPI Number           |    1093962284
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    Entity Type          |    Individual 
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    Provider Name        |    RASHNA FARHAD GINWALLA M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2008
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    1650 COWLES ST 
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    City                 |    FAIRBANKS
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    State                |    AK
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    Zip                  |    99701-5907
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    Country              |    US
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    Telephone            |    907-458-2652
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1650 COWLES ST 
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    City                 |    FAIRBANKS
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    State                |    AK
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    Zip                  |    99701-5907
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    Country              |    US
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    Telephone            |    215-901-4908
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    Fax                  |    
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    MT184794
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    D70894
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    LT - 3446
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    License Number State |    NH
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Taxonomy #4
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    Taxonomy Code        |    2086S0127X
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    Taxonomy Name        |    Trauma Surgery Physician
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    License Number       |    M-15274
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    License Number State |    ID
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Taxonomy #5
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    229919
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    License Number State |    AK
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