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General NPI Number Information
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NPI Number | 1548536410
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Entity Type | Individual
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Provider Name | MARYAM SAFAEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST BB1353
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 801-391-3353
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 NE PACIFIC ST BB1353
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City | SEATTLE
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State | WA
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Zip | 98195-0001
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Country | US
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Telephone | 801-391-3353
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 60662032
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License Number State | WA
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