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General NPI Number Information
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NPI Number | 1538659008
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Entity Type | Individual
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Provider Name | ASHAR MAZHAR FAROOQI MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE B101
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-323-5661
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Fax | 859-323-6411
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Provider Business Mailing Address
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Address Line | 1249 15TH ST STE 200
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City | HUNTINGTON
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State | WV
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Zip | 25701-3662
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Country | US
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Telephone | 304-691-1000
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 70883
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 59138
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 59138
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License Number State | KY
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