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General NPI Number Information
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NPI Number | 1164533378
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Entity Type | Individual
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Provider Name | FARAH SHAH MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST STE 1720
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City | HOUSTON
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State | TX
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Zip | 77030-2735
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Country | US
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Telephone | 713-790-0058
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Fax | 713-790-0410
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Provider Business Mailing Address
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Address Line | 6560 FANNIN ST STE 1720
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City | HOUSTON
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State | TX
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Zip | 77030-2735
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Country | US
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Telephone | 713-790-0058
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Fax | 713-790-0410
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | H7652
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License Number State | TX
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