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General NPI Number Information
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NPI Number | 1447343496
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Entity Type | Individual
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Provider Name | FAREED RAMZI ASFOUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5176 HILL RD E
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City | LAKEPORT
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State | CA
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Zip | 95453-6357
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Country | US
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Telephone | 628-600-3589
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 CATALINA DR # 194
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City | LIVERMORE
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State | CA
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Zip | 94550-5928
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Country | US
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Telephone | 775-364-0900
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Fax | 925-226-4007
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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 | A71648
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A71648
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License Number State | CA
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