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General NPI Number Information
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NPI Number | 1417155805
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Entity Type | Individual
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Provider Name | FARA RANJBARAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 5656 BEE CAVES RD
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5280
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Country | US
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Telephone | 512-323-5465
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Fax | 512-454-7453
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Provider Business Mailing Address
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Address Line | 3708 JEFFERSON ST SUITE A
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City | AUSTIN
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State | TX
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Zip | 78731-6206
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Country | US
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Telephone | 512-459-6503
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Fax | 512-454-7453
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | N8839
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License Number State | TX
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