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General NPI Number Information
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NPI Number | 1457075558
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Entity Type | Individual
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Provider Name | FARAH ALRAJAAN
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Gender | Female
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 5814 VAN ALLEN WAY STE 225
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City | CARLSBAD
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State | CA
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Zip | 92008-7366
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Country | US
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Telephone | 310-570-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 BROOKE CT UNIT 407
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City | SAN DIEGO
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State | CA
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Zip | 92122-5286
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Country | US
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Telephone | 310-570-8281
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Fax |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ND1360
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License Number State | CA
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