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General NPI Number Information
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NPI Number | 1700247590
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Entity Type | Organization
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Legal Business Name | NAWAL ALKHAROUF
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 9951 MICKELBERRY RD NW STE 101
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City | SILVERDALE
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State | WA
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Zip | 98383-8309
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Country | US
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Telephone | 360-692-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 HARBOR COUNTRY DR R-146
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City | GIG HARBOR
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State | WA
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Zip | 98335
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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 | PEDIATRICIAN
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Name | DR. NAWAL ALKHAROUF
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Credential | M.D.
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Telephone | 571-246-2875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | MD60521122
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License Number State | WA
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