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General NPI Number Information
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NPI Number | 1740176924
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Entity Type | Organization
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Legal Business Name | FARAH TALIB PLLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | FREEPORT FAMILY DENTISTRY 313 S BRAZOSPORT BLVD
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City | FREEPORT
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State | TX
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Zip | 77541
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Country | US
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Telephone | 979-233-6000
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Fax | 979-233-9629
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Provider Business Mailing Address
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Address Line | 10835 CAMPBELL PT
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1320
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Country | US
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Telephone | 832-465-4419
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FARAH TALIB
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Credential | DMD
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Telephone | 832-465-4419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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