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General NPI Number Information
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NPI Number | 1285253534
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Entity Type | Individual
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Provider Name | MOHAMMED AHMED FARHAN DPM
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Gender | Male
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 121 DEKALB AVE
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City | BROOKLYN
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State | NY
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Zip | 11201-5493
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Country | US
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Telephone | 801-250-8753
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Fax | 513-494-7460
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Provider Business Mailing Address
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Address Line | 280 S MAIN ST
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City | BOUNTIFUL
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State | UT
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Zip | 84010-6236
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Country | US
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Telephone | 801-505-0821
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Fax | 801-505-0803
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016006133
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 13204318-0501
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 007294
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License Number State | NY
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