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General NPI Number Information
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NPI Number | 1477290682
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Entity Type | Individual
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Provider Name | FARRUKH ABID M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 260 TOMPKINS ST
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City | CORTLAND
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State | NY
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Zip | 13045-3393
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Country | US
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Telephone | 607-756-9941
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Fax | 607-299-4379
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Provider Business Mailing Address
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Address Line | 101 DATES DR
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City | ITHACA
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State | NY
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Zip | 14850-1342
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Country | US
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Telephone | 607-277-2365
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Fax | 607-277-1415
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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 | 338400
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License Number State | NY
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