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General NPI Number Information
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NPI Number | 1568975977
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Entity Type | Individual
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Provider Name | UMER FAROOQ MD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 501 W 14TH ST STE 1E40
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-320-2100
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Fax | 302-320-2121
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Provider Business Mailing Address
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Address Line | 501 W 14TH ST STE 1E40
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-320-2100
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Fax | 302-320-2121
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0095315
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL82578
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD479418
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | D0095315
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD479418
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | C1-0028390
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License Number State | DE
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