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General NPI Number Information
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NPI Number | 1962210997
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Entity Type | Individual
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Provider Name | DR. REINA SAADOON MOHAMMED AL BALDAWI
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Gender | Female
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 7700 SW BEAVERTON HILLSDALE HWY
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City | PORTLAND
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State | OR
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Zip | 97225-2101
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Country | US
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Telephone | 503-203-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 13505 SW JENKINS RD APT 22
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City | BEAVERTON
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State | OR
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Zip | 97005-1178
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Country | US
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Telephone | 971-330-5594
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0020371
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License Number State | OR
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