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Individual

DALAL FARID JACOB

Active
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Individual

DALAL FARID JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R-3150
AR
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
R-3150
AR
282NR1301X
Rural Acute Care Hospital
R-3150
AR

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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