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General NPI Number Information
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NPI Number | 1558848853
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Entity Type | Individual
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Provider Name | FARAH K AZIMI NP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 252 COUNTY ROAD 601
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City | BELLE MEAD
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State | NJ
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Zip | 08502-3923
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Country | US
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Telephone | 908-281-1574
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Fax | 908-281-1575
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Provider Business Mailing Address
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Address Line | 15 KINGSTONE LN
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-2987
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Country | US
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Telephone | 848-459-8420
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ00831700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00831700
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License Number State | NJ
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