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General NPI Number Information
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NPI Number | 1629851985
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Entity Type | Organization
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Legal Business Name | FAROOQ J HUSAYN MD INC
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 6214 SARATOGA BLVD BLDG 3 STE A
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-3421
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Country | US
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Telephone | 361-520-4250
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Fax | 361-444-5070
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Provider Business Mailing Address
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Address Line | 6214 SARATOGA BLVD BLDG 3 STE A
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-8373
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Country | US
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Telephone | 361-520-4250
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Fax | 805-254-2721
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Authorized Official
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Title or Position | DIRECTOR
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Name | FAROOQ HUSAYN
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Credential | MD
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Telephone | 805-451-9928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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