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General NPI Number Information
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NPI Number | 1700098183
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Entity Type | Organization
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Legal Business Name | ALI J NAINI PC
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Dates
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Enumeration Date | 05/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13107 121ST WAY NE STE A
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City | KIRKLAND
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State | WA
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Zip | 98034-3051
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Country | US
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Telephone | 425-899-6200
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Fax | 425-899-6228
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Provider Business Mailing Address
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Address Line | 13107 121ST WAY NE STE A
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City | KIRKLAND
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State | WA
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Zip | 98034-3051
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Country | US
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Telephone | 425-899-6200
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Fax | 425-899-6228
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALI JAFARI NAINI
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Credential | M.D.
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Telephone | 425-899-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | MD00034084
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License Number State | WA
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