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General NPI Number Information
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NPI Number | 1922818772
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Entity Type | Organization
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Legal Business Name | FARIDI MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 43 S MAIN ST
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2412
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Country | US
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Telephone | 860-523-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 73 JOSHUA HL
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City | WINDSOR
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State | CT
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Zip | 06095-3469
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Country | US
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Telephone | 860-801-2224
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MOHAMMAD TARIQ FARIDI
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Credential |
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Telephone | 860-801-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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