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General NPI Number Information
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NPI Number | 1538232624
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Entity Type | Individual
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Provider Name | JEMAL HASHIM JAFER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2501 W 22ND ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1305
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Country | US
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Telephone | 605-336-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 601 E 69TH ST APT 103
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City | SIOUX FALLS
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State | SD
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Zip | 57108-2404
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Country | US
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Telephone | 605-338-9152
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD0000038342
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License Number State | TN
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