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General NPI Number Information
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NPI Number | 1225523632
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Entity Type | Individual
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Provider Name | ZINNIA FAROOQ OD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 2601 PRESTON RD
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 972-731-9859
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Fax | 915-703-7732
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Provider Business Mailing Address
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Address Line | 2601 PRESTON RD STE 1126
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City | FRISCO
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State | TX
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Zip | 75034-9472
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Country | US
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Telephone | 972-731-9859
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Fax | 915-703-7732
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9461TG
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License Number State | TX
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