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General NPI Number Information
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NPI Number | 1578967717
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Entity Type | Organization
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Legal Business Name | TARIQ JAVED, MD INC.
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 515 S LOCUST ST
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City | VISALIA
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State | CA
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Zip | 93277-2616
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Country | US
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Telephone | 559-625-4630
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Fax |
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Provider Business Mailing Address
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Address Line | 515 S LOCUST ST
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City | VISALIA
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State | CA
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Zip | 93277-2616
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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 | OWNER
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Name | TARIQ JAVED
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Credential | M.D.
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Telephone | 661-616-8555
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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 | A102388
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License Number State | CA
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