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General NPI Number Information
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NPI Number | 1336024470
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Entity Type | Individual
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Provider Name | FARIDA SEWIELAM DDS
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Gender | Female
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2020 GULF FWY
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City | TEXAS CITY
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State | TX
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Zip | 77591-2801
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Country | US
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Telephone | 409-316-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 GULF FWY
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City | TEXAS CITY
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State | TX
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Zip | 77591-2801
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Country | US
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Telephone | 409-316-6018
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 41855
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License Number State | TX
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