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General NPI Number Information
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NPI Number | 1952292666
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Entity Type | Individual
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Provider Name | HERA FAROOQUI
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 294 INTERSTATE NORTH CIR SE
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City | ATLANTA
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State | GA
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Zip | 30339-2425
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Country | US
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Telephone | 678-968-5040
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Fax | 855-915-0244
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Provider Business Mailing Address
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Address Line | 2500 DALLAS HWY SW STE 202-1200
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City | MARIETTA
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State | GA
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Zip | 30064-2567
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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