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General NPI Number Information
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NPI Number | 1376007740
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Entity Type | Individual
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Provider Name | MS. FARAH ADNAN ALTARAZI I
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Gender | Female
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 116 W 32ND ST FL 8
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City | NEW YORK
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State | NY
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Zip | 10001-3212
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Country | US
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Telephone | 800-314-8078
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Fax |
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Provider Business Mailing Address
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Address Line | 167 PARK AVE PH
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City | KEANSBURG
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State | NJ
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Zip | 07734-1844
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Country | US
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Telephone | 347-612-0270
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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