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General NPI Number Information
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NPI Number | 1952251365
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Entity Type | Individual
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Provider Name | JAMIL FARAKH DC
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Gender | Male
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 10400 MALLARD CREEK RD STE 102
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City | CHARLOTTE
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State | NC
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Zip | 28262-5207
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Country | US
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Telephone | 704-900-7077
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Fax |
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Provider Business Mailing Address
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Address Line | 12 DEDDINGTON DR
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City | BELLA VISTA
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State | AR
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Zip | 72714-3819
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Country | US
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Telephone | 704-900-7077
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12398
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License Number State | AR
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