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General NPI Number Information
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NPI Number | 1356396634
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Entity Type | Individual
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Provider Name | JEHAD JAFARI MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1125 MADISON ST
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City | JEFFERSON CITY
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State | MO
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Zip | 65101-5227
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Country | US
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Telephone | 573-632-5000
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Fax | 573-634-2033
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Provider Business Mailing Address
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Address Line | 1338 HIGHLAND MDWS
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City | FLINT
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State | MI
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Zip | 48532-2062
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Country | US
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Telephone | 989-992-4949
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Fax | 989-797-5537
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301060253
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2022008386
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35145
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2022008386
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License Number State | MO
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