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General NPI Number Information
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NPI Number | 1740628213
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Entity Type | Individual
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Provider Name | MAZEN FAROUK HARIRI D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 820 E CARTWRIGHT RD STE 100
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City | MESQUITE
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State | TX
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Zip | 75149-6063
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Country | US
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Telephone | 214-320-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 820 E CARTWRIGHT RD STE 100
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City | MESQUITE
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State | TX
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Zip | 75149-6063
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Country | US
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Telephone | 214-320-7600
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Fax | 833-535-1069
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 15044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S8569
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License Number State | TX
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