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General NPI Number Information
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NPI Number | 1235250929
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Entity Type | Individual
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Provider Name | FARAH SHARIFF D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 520 LAWRENCE SQUARE BLVD S
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2674
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Country | US
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Telephone | 609-587-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MAJOR RD
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2302
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Country | US
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Telephone | 732-951-2107
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19157
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License Number State | NJ
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