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General NPI Number Information
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NPI Number | 1043402928
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Entity Type | Individual
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Provider Name | DAVID SCOTT FARLEY NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS PRESCOTT)
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City | FT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-526-0502
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Fax | 719-526-7132
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Provider Business Mailing Address
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Address Line | 1650 COCHRANE CIR REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS PRESCOTT)
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City | FT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-526-0502
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Fax | 719-526-7132
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 467826
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License Number State | NY
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