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Individual
JAY R. FARIS
Active
Individual
JAY R. FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD-14450
HI
207Q00000X
Family Medicine Physician
Primary
MD14450
HI
207Q00000X
Family Medicine Physician
MD151178
OR
Other
Enumeration date
02/05/2008
Last updated
07/19/2021
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