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General NPI Number Information
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NPI Number | 1023423852
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Entity Type | Individual
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Provider Name | MUNES FARES MD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1001 BLYTHE BLVD STE 500
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City | CHARLOTTE
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State | NC
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Zip | 28203-5866
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Country | US
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Telephone | 704-373-1813
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Fax |
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-7201
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Country | US
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Telephone | 469-626-8512
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Fax | 214-645-0078
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | T1353
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2025-00900
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License Number State | NC
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