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General NPI Number Information
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NPI Number | 1639630593
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Entity Type | Individual
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Provider Name | HUMA AHMAD DO
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1719 NW MARKET ST
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City | SEATTLE
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State | WA
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Zip | 98107-5225
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Country | US
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Telephone | 206-784-2090
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Fax | 206-784-8939
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Provider Business Mailing Address
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Address Line | 2003 NW 57TH ST
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City | SEATTLE
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State | WA
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Zip | 98107-5532
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Country | US
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Telephone | 609-220-0007
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV008926
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD61469527
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License Number State | WA
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