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General NPI Number Information
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NPI Number | 1275329252
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Entity Type | Individual
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Provider Name | FARYAL CHOUDRY LCSW
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Gender |
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 9685 LAKE NONA VILLAGE PL STE 103
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City | ORLANDO
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State | FL
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Zip | 32827-7321
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Country | US
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Telephone | 407-557-8160
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Fax | 407-557-8159
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Provider Business Mailing Address
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Address Line | 7261 SHERIDAN ST STE 340
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2726
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Country | US
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Telephone | 954-561-6222
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Fax | 954-990-7650
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW24601
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License Number State | FL
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