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General NPI Number Information
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NPI Number | 1366827800
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Entity Type | Individual
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Provider Name | FARAH GULAID
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Gender | Female
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 2400 BOSTON STREET SUITE 106
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City | BALTIMORE
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State | MD
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Zip | 21224
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Country | US
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Telephone | 410-675-0434
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 BOSTON ST STE 106
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City | BALTIMORE
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State | MD
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Zip | 21224-4723
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Country | US
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Telephone | 410-675-0434
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2484
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002961
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License Number State | GA
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