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General NPI Number Information
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NPI Number | 1548783350
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Entity Type | Individual
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Provider Name | MOHAMMAD SHAHID FARHAN DDS
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Gender | Male
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 9007 TWO NOTCH RD STE B
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City | COLUMBIA
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State | SC
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Zip | 29223-5834
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Country | US
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Telephone | 803-212-0387
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Fax |
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Provider Business Mailing Address
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Address Line | 219 RICHARDSON ST APT 3310
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City | CAYCE
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State | SC
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Zip | 29033-4436
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10810
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9482
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License Number State | SC
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