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General NPI Number Information
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NPI Number | 1881662021
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Entity Type | Individual
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Provider Name | RICHARD M FARADAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 705 W LA VETA AVE SUITE #114
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City | ORANGE
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State | CA
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Zip | 92868-4402
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Country | US
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Telephone | 714-997-5597
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Fax | 714-516-2799
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Provider Business Mailing Address
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Address Line | 705 W LA VETA AVE SUITE 114
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City | ORANGE
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State | CA
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Zip | 92868-4402
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Country | US
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Telephone | 714-997-5597
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Fax | 714-516-2799
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 207RI0200X
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License Number State | CA
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