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General NPI Number Information
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NPI Number | 1720579394
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Entity Type | Individual
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Provider Name | KAREEM SIOUFI MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2018
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 2687 SANDY PLAINS RD
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City | MARIETTA
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State | GA
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Zip | 30066-4256
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Country | US
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Telephone | 404-214-2120
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50095
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City | SEATTLE
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State | WA
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Zip | 98145-5095
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Country | US
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Telephone | 206-520-5700
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | LL52345
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD61264542
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | LL52345
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 97487
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License Number State | GA
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