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General NPI Number Information
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NPI Number | 1760392807
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Entity Type | Individual
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Provider Name | FERAS HANTASH PHD
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Gender | Male
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 1165 EASTLAKE AVE E
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City | SEATTLE
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State | WA
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Zip | 98109-4456
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Country | US
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Telephone | 206-775-5754
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Fax |
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Provider Business Mailing Address
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Address Line | 25071 BELLOTA
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City | MISSION VIEJO
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State | CA
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Zip | 92692-2705
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Country | US
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Telephone | 949-246-8043
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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 | 207SG0205X
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Taxonomy Name | Ph.D. Medical Genetics Physician
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License Number | 2011071
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License Number State | MD
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