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General NPI Number Information
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NPI Number | 1699433581
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Entity Type | Individual
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Provider Name | FARAH TAHA GOHEER PHD
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Gender | Female
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3295 RIVER EXCHANGE DR STE 211
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City | NORCROSS
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State | GA
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Zip | 30092-4204
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Country | US
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Telephone | 888-606-0086
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Fax | 346-223-0296
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Provider Business Mailing Address
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Address Line | 112 MAGNOLIA ESTATES DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-4613
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Country | US
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Telephone | 888-606-0086
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Fax | 346-223-0296
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY004569
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License Number State | GA
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