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General NPI Number Information
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NPI Number | 1619894136
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Entity Type | Organization
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Legal Business Name | SYED JAFFAR ALI SHAH
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 2625 LINCOLN WAY # 26
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City | LYNNWOOD
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State | WA
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Zip | 98087-5629
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Country | US
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Telephone | 313-913-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 LINCOLN WAY # 26
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City | LYNNWOOD
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State | WA
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Zip | 98087-5629
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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 | AUTHORIZED OFFICIAL
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Name | JASON WILL
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Credential |
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Telephone | 313-913-2871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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