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General NPI Number Information
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NPI Number | 1407089683
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Entity Type | Organization
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Legal Business Name | VFAM PLLC
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 2459 E HEBRON PKWY SUITE # 130
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City | CARROLLTON
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State | TX
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Zip | 75010-4427
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Country | US
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Telephone | 972-428-7000
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Fax | 972-395-7119
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Provider Business Mailing Address
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Address Line | 2459 E HEBRON PKWY SUITE # 130
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City | CARROLLTON
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State | TX
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Zip | 75010-4427
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Country | US
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Telephone | 972-428-7000
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Fax | 972-395-7119
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Authorized Official
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Title or Position | CEO
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Name | DR. FARAH NAZ
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Credential | M D
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Telephone | 972-395-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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Taxonomy #5
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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Taxonomy #8
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L0446
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License Number State | TX
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