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General NPI Number Information
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NPI Number | 1619887437
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Entity Type | Individual
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Provider Name | FARKHOD ALTIBAEV
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Gender | Male
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 9925 ARBOR MONTGOMERY LN
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City | CINCINNATI
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State | OH
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Zip | 45249-8015
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Country | US
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Telephone | 513-656-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 9925 ARBOR MONTGOMERY LN
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City | CINCINNATI
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State | OH
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Zip | 45249-8015
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Country | US
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Telephone | 513-656-4468
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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 | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State | OH
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