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General NPI Number Information
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NPI Number | 1023293594
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Entity Type | Organization
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Legal Business Name | DR LARRY E FARMER, OPTOMETRIST
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 39 MAIN ST
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City | NORWAY
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State | ME
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Zip | 04268-5501
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Country | US
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Telephone | 207-743-7751
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 701
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City | NORWAY
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State | ME
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Zip | 04268-0701
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Country | US
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Telephone | 207-743-7751
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. LARRY E FARMER
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Credential | OD
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Telephone | 207-743-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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