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General NPI Number Information
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NPI Number | 1912028630
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Entity Type | Individual
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Provider Name | FARRUKH H MERCHANT MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 5901 E 7TH ST RM 225
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City | LONG BEACH
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State | CA
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Zip | 90822
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Country | US
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Telephone | 562-826-8000
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Fax | 562-826-5332
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Provider Business Mailing Address
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Address Line | PO BOX 1588
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City | VANCOUVER
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State | WA
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Zip | 98668-1588
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Country | US
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Telephone | 360-514-7000
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Fax |
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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 | MD00046944
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License Number State | WA
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