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General NPI Number Information
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NPI Number | 1043146731
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Entity Type | Individual
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Provider Name | SHANIE RANKIN FARNSWORTH RPSGT
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Gender | Female
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 100 ASMA BLVD STE 205
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City | LAFAYETTE
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State | LA
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Zip | 70508-3842
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Country | US
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Telephone | 337-470-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PROVIDENCE CT
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City | LAFAYETTE
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State | LA
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Zip | 70506-6609
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Country | US
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Telephone | 337-967-3289
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | POLY.000316
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License Number State | LA
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