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General NPI Number Information
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NPI Number | 1285785220
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Entity Type | Individual
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Provider Name | CHARLES SIDNEY FABER D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 7286 BELLEISLE GLN
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5696
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Country | US
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Telephone | 401-692-0449
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Fax |
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Provider Business Mailing Address
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Address Line | 7286 BELLEISLE GLN
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5696
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Country | US
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Telephone | 401-692-0449
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Fax | 833-895-2007
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | DO00300
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | OS13972
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License Number State | FL
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