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General NPI Number Information
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NPI Number | 1619134780
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Entity Type | Individual
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Provider Name | RAFID A. FADUL
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Gender | Male
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 2220 SUPERIOR VIA
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City | CLEVELAND
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State | OH
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Zip | 44113-2367
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Country | US
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Telephone | 202-557-5361
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 SUPERIOR VIA
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City | CLEVELAND
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State | OH
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Zip | 44113-2367
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Country | US
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Telephone | 480-490-6656
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35096649
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101248182
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME118154
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME118154
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35096649
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License Number State | OH
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