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General NPI Number Information
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NPI Number | 1558771238
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Entity Type | Individual
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Provider Name | ADNAN FARUQI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1301 PLANTATION ISLAND DR S STE 302A
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-3117
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Country | US
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Telephone | 312-646-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 PLANTATION ISLAND DR S STE 302A
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32080-3117
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Country | US
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Telephone | 904-461-9330
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Fax | 904-461-9331
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME140144
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 260520
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME140144
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME140144
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1024959
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License Number State | MA
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