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General NPI Number Information
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NPI Number | 1962316547
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Entity Type | Organization
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Legal Business Name | LARAMIC MEDICAL GROUP OF OREGON PC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 364 FAIR OAKS ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3617
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Country | US
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Telephone | 707-653-5434
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Fax | 608-813-8963
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Provider Business Mailing Address
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Address Line | 364 FAIR OAKS ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZAID FADUL
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Credential | MD
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Telephone | 480-490-6656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State | NULL
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