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General NPI Number Information
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NPI Number | 1750236022
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Entity Type | Individual
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Provider Name | FATHI ABDI ALI
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 25438 22ND AVE S
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City | DES MOINES
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State | WA
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Zip | 98198-9054
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Country | US
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Telephone | 206-460-2829
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Fax |
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Provider Business Mailing Address
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Address Line | 25438 22ND AVE S
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City | DES MOINES
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State | WA
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Zip | 98198-9054
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Country | US
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Telephone | 206-460-2829
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.61676363
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License Number State | WA
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