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General NPI Number Information
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NPI Number | 1366408585
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Entity Type | Individual
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Provider Name | FARIDA BARODAWALA MD FACA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 2950 ELMWOOD AVENUE KENMORE MERCY HOSPITAL
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City | KENMORE
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State | NY
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Zip | 14217
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Country | US
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Telephone | 716-447-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 ELMWOOD AVENUE STE 2
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City | KENMORE
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State | NY
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Zip | 14217-2646
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Country | US
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Telephone | 716-874-1098
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Fax | 716-874-9616
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1259701
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License Number State | NY
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