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General NPI Number Information
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NPI Number | 1871806695
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Entity Type | Organization
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Legal Business Name | AYMAN K FARAH, DDS, PS
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 3307 EVERGREEN WAY STE 706
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City | WASHOUGAL
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State | WA
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Zip | 98671-2065
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Country | US
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Telephone | 360-335-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 EVERGREEN WAY STE 706
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City | WASHOUGAL
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State | WA
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Zip | 98671-2065
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Country | US
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Telephone | 360-335-8899
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Fax |
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Authorized Official
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Title or Position | DENTAIST/OWNER
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Name | DR. AYMAN K FARAH
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Credential | DDS
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Telephone | 360-335-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7550
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License Number State | WA
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