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General NPI Number Information
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NPI Number | 1609196690
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Entity Type | Individual
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Provider Name | YOUSAF Z FARUKHI MD, DMD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 1 KNEELAND ST FL 5
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City | BOSTON
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State | MA
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Zip | 02111-1527
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Country | US
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Telephone | 617-636-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LEIGHTON ST APT 502
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City | CAMBRIDGE
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State | MA
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Zip | 02141-3010
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Country | US
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Telephone | 410-419-3950
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 269431
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN1859843
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License Number State | MA
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