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General NPI Number Information
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NPI Number | 1174135271
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Entity Type | Individual
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Provider Name | JIHAN BRIFKI
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 3330 18TH ST S
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City | MOORHEAD
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State | MN
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Zip | 56560-5222
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Country | US
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Telephone | 218-329-0466
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Fax |
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Provider Business Mailing Address
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Address Line | 3736 13TH ST S
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City | MOORHEAD
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State | MN
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Zip | 56560-7442
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Country | US
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Telephone | 218-329-0466
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | MN
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