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General NPI Number Information
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NPI Number | 1801509708
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Entity Type | Organization
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Legal Business Name | FARAH FATIMA MD P.C.
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 13527 38TH AVE
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City | FLUSHING
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State | NY
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Zip | 11354-4471
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Country | US
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Telephone | 718-663-2756
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Fax | 718-269-3268
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Provider Business Mailing Address
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Address Line | 61 WILLETS DR
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City | SYOSSET
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State | NY
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Zip | 11791-3915
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Country | US
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Telephone | 516-317-8337
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARAH FATIMA
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Credential | MD
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Telephone | 516-317-8337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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