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General NPI Number Information
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NPI Number | 1558363176
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Entity Type | Individual
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Provider Name | SADAF HUSSAIN MD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 222 STATE AVE N
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City | KENT
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State | WA
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Zip | 98030-4544
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Country | US
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Telephone | 253-372-7780
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Fax | 253-372-7873
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Provider Business Mailing Address
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Address Line | 222 STATE AVE N
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City | KENT
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State | WA
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Zip | 98030-4544
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Country | US
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Telephone | 253-372-7780
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Fax | 253-372-7873
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00047346
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License Number State | WA
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