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General NPI Number Information
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NPI Number | 1194992032
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Entity Type | Individual
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Provider Name | FAROOQ AMIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 13238 EXECUTIVE PARK TER
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City | GERMANTOWN
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State | MD
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Zip | 20874
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Country | US
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Telephone | 301-820-1715
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Fax |
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Provider Business Mailing Address
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Address Line | 13238 EXECUTIVE PARK TER
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City | GERMANTOWN
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State | MD
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Zip | 20874
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Country | US
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Telephone | 718-275-1013
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 254909
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D76028
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A122653
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License Number State | CA
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