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Individual
TARIG ELKHALIFA
Active
Individual
TARIG ELKHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D05323194
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
723749
NON-EMERGENCY MEDICAL TRANSPORTATION
AZ
Enumeration date
09/30/2014
Last updated
09/30/2014
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