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General NPI Number Information
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NPI Number | 1609115872
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Entity Type | Individual
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Provider Name | FARID UD DIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 318 W FM 544 STE B1
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City | MURPHY
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State | TX
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Zip | 75094-4652
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Country | US
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Telephone | 469-493-1964
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Fax | 732-756-9138
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Provider Business Mailing Address
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Address Line | 4604 APPLERIDGE DR
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City | RICHARDSON
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State | TX
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Zip | 75082-3800
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Country | US
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Telephone | 469-493-1964
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Fax | 732-756-9138
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 54042
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | R4212
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License Number State | TX
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