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General NPI Number Information
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NPI Number | 1447461579
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Entity Type | Individual
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Provider Name | FARHAN SIDDIQUI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 151 HAROLD FLEMING CT
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City | SPARTANBURG
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State | SC
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Zip | 29303-4225
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Country | US
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Telephone | 864-573-6320
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Fax | 864-208-0352
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Provider Business Mailing Address
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Address Line | 151 HAROLD FLEMING CT
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City | SPARTANBURG
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State | SC
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Zip | 29303-4225
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Country | US
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Telephone | 864-573-6320
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Fax | 864-208-0352
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 33422
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 33422
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2012-01820
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2012-01820
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License Number State | NC
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