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General NPI Number Information
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NPI Number | 1417831959
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Entity Type | Organization
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Legal Business Name | FARRAH NURSING CORP
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2702 HYDE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-1223
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Country | US
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Telephone | 628-800-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 FILLMORE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FARRAH SELAH JALLALVANDI
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Credential | NP
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Telephone | 628-800-4081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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