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General NPI Number Information
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NPI Number | 1013835776
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Entity Type | Organization
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Legal Business Name | C KEVIN FARR, DMD PC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 5425 EL CAMINO REAL
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City | ATASCADERO
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State | CA
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Zip | 93422-3355
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Country | US
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Telephone | 805-432-0977
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Fax | 805-461-3448
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Provider Business Mailing Address
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Address Line | 5425 EL CAMINO REAL
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City | ATASCADERO
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State | CA
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Zip | 93422-3355
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Country | US
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Telephone | 805-432-0977
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Fax | 805-461-3448
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. CHARLES KEVIN FARR
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Credential | DMD
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Telephone | 805-423-0977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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