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General NPI Number Information
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NPI Number | 1962439315
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Entity Type | Individual
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Provider Name | NABILA S. FAROOQ MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 601 W 2ND ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2317
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Country | US
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Telephone | 812-353-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-9600
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036162187
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 042-0015531
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-22622
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.131564
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | NF059388
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01084195A
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License Number State | IN
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