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General NPI Number Information
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NPI Number | 1629027495
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Entity Type | Individual
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Provider Name | ELIZABETH G. FAUST M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3223 S LOOP 289 STE 600
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City | LUBBOCK
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State | TX
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Zip | 79423-1372
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Country | US
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Telephone | 833-351-8255
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | 109 W 27TH ST RM 5S
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City | NEW YORK
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State | NY
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Zip | 10001-6208
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Country | US
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Telephone | 833-351-8255
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Fax | 888-815-3583
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 50255-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1020-TEP
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60402151
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 50567
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License Number State | IA
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Taxonomy #5
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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 | 50255
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 78999
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License Number State | TX
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