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General NPI Number Information
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NPI Number | 1992122063
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Entity Type | Individual
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Provider Name | ASAD PERVEZ MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 34503 9TH AVE S STE 130
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8726
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Country | US
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Telephone | 253-835-5340
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Fax | 253-779-8364
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Provider Business Mailing Address
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Address Line | 34503 9TH AVE S STE 130
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8726
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Country | US
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Telephone | 253-835-5340
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Fax | 253-779-8364
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 29725
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD61681830
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License Number State | WA
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