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General NPI Number Information
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NPI Number | 1447403563
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Entity Type | Individual
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Provider Name | FARAH MASOOD MD
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Gender | Female
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 3615 N BELT LINE RD STE 300
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City | SUNNYVALE
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State | TX
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Zip | 75182-9235
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Country | US
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Telephone | 972-682-7500
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Fax | 972-682-7695
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Provider Business Mailing Address
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Address Line | PO BOX 12171
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City | DALLAS
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State | TX
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Zip | 75225
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Country | US
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Telephone | 972-682-7500
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Fax | 972-682-7695
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | P1567
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P1567
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License Number State | TX
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