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General NPI Number Information
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NPI Number | 1558183483
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Entity Type | Individual
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Provider Name | FARAH KHAN DMD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1620 FM 646 RD N STE D
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City | DICKINSON
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State | TX
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Zip | 77539-7344
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Country | US
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Telephone | 281-332-0980
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 NASA PKWY APT 1223
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City | HOUSTON
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State | TX
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Zip | 77058-3902
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Country | US
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Telephone | 813-817-7048
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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 | 41090
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License Number State | TX
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