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General NPI Number Information
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NPI Number | 1306423421
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Entity Type | Individual
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Provider Name | SUAD ABDELAZIZ
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2101 E YESLER WAY STE 150
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City | SEATTLE
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State | WA
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Zip | 98122-5959
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Country | US
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Telephone | 206-709-7112
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Fax |
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Provider Business Mailing Address
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Address Line | 125 16TH AVE E # CHS545
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City | SEATTLE
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State | WA
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Zip | 98112-5211
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61463827
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License Number State | WA
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