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General NPI Number Information
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NPI Number | 1366850711
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Entity Type | Individual
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Provider Name | FAISAL RADWI M.D
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Gender | Male
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 8403 IBN HENIN AS SAFA DISTRICT
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City | JEDDAH
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State | WESTERN
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Zip | 23456 4130
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Country | SA
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Telephone | 681-214-3099
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Fax |
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Provider Business Mailing Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD-51073
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 0116031187
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License Number State | VA
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