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General NPI Number Information
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NPI Number | 1275865651
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Entity Type | Individual
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Provider Name | FAISA ABUKAR FAROLE LICENSE MIDWIFE
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Gender | Female
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 2319 SW 320TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98023-2514
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Country | US
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Telephone | 206-683-8167
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Fax | 206-420-0366
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Provider Business Mailing Address
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Address Line | 2740 SW 342ND ST
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City | FEDERAL WAY
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State | WA
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Zip | 98023-7609
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Country | US
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Telephone | 206-683-8167
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Fax | 425-207-3025
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 7408917
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 60623982
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License Number State | WA
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