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General NPI Number Information
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NPI Number | 1366493181
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Entity Type | Individual
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Provider Name | EMIR BARBAROS SAFAK GUVEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 1400 E KINCAID ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4127
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Country | US
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Telephone | 360-814-6315
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Fax | 360-814-6261
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Provider Business Mailing Address
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Address Line | 229 N PECOS RD STE 100
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City | HENDERSON
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State | NV
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Zip | 89074-7364
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Country | US
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Telephone | 414-530-1522
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 33942
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 12601
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD61232874
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License Number State | WA
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