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General NPI Number Information
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NPI Number | 1891960977
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Entity Type | Organization
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Legal Business Name | FARHAD NIROOMAND, MD; PA
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 2501 OAK LAWN AVE SUITE 450
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City | DALLAS
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State | TX
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Zip | 75219-4019
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Country | US
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Telephone | 214-303-1102
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Fax | 469-341-0333
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Provider Business Mailing Address
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Address Line | 2501 OAK LAWN AVE SUITE 450
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City | DALLAS
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State | TX
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Zip | 75219-4019
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Country | US
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Telephone | 214-303-1102
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Fax | 469-341-0333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARHAD NIROOMAND
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Credential | M.D.
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Telephone | 214-303-1102
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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 | J9245
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License Number State | TX
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