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General NPI Number Information
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NPI Number | 1427022052
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Entity Type | Individual
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Provider Name | FARRUKH A SIDDIQUI MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 04/21/2016
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Provider Practice Location Address
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Address Line | 501 20TH ST STE 303
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City | KNOXVILLE
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State | TN
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Zip | 37916-1809
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Country | US
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Telephone | 865-541-1375
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Fax | 865-541-1714
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Provider Business Mailing Address
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Address Line | 501 20TH ST STE 303
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City | KNOXVILLE
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State | TN
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Zip | 37916-1809
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Country | US
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Telephone | 865-541-1375
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Fax | 865-541-1714
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32071
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M2807
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 32071
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | M2807
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 32071
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License Number State | TN
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