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General NPI Number Information
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NPI Number | 1316345895
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Entity Type | Individual
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Provider Name | FARAH ALVI PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 3421 BENSON AVE SUITE 210
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City | BALTIMORE
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State | MD
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Zip | 21227-1056
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Country | US
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Telephone | 443-693-7246
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Fax | 866-523-4474
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Provider Business Mailing Address
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Address Line | 7920 MCDONOGH RD SUITE 201
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5273
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Country | US
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Telephone | 443-693-7246
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Fax | 866-523-4474
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C05658
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License Number State | MD
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