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General NPI Number Information
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NPI Number | 1558561704
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Entity Type | Individual
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Provider Name | FARAH DEEBA TAHER M.D
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Gender | Female
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 52 HEYWOOD ST
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2412
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Country | US
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Telephone | 516-233-7758
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Fax | 516-385-4206
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Provider Business Mailing Address
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Address Line | 52 HEYWOOD ST
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2412
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Country | US
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Telephone | 516-233-7758
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Fax | 516-385-4206
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 245264-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 245264-1
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License Number State | NY
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