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General NPI Number Information
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NPI Number | 1750545422
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Entity Type | Individual
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Provider Name | FIDA SAWALHA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 2222 E HIGHLAND AVE STE 221
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City | PHOENIX
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State | AZ
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Zip | 85016-4987
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Country | US
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Telephone | 602-675-1213
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Fax | 602-935-3069
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Provider Business Mailing Address
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Address Line | 2222 E HIGHLAND AVE STE 221
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City | PHOENIX
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State | AZ
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Zip | 85016-4987
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Country | US
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Telephone | 702-579-3203
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 53600
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 53600
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License Number State | AZ
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