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General NPI Number Information
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NPI Number | 1912469628
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Entity Type | Individual
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Provider Name | DANIEL FARISHTA
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP S STE 350
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City | BELLAIRE
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State | TX
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Zip | 77401-3500
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Country | US
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Telephone | 713-791-9363
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Fax | 866-950-0118
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Provider Business Mailing Address
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Address Line | 10740 N GESSNER RD STE 310
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City | HOUSTON
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State | TX
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Zip | 77064-1240
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Country | US
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Telephone | 281-897-0416
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | V1086
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | V1086
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License Number State | TX
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