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General NPI Number Information
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NPI Number | 1043431729
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Entity Type | Individual
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Provider Name | JOHN L. FARNETH JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 850 LEONARD ST
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City | CLEARFIELD
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State | PA
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Zip | 16830-3200
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Country | US
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Telephone | 814-765-4681
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Fax | 814-765-7475
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Provider Business Mailing Address
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Address Line | PO BOX 1428
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City | CLEARFIELD
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State | PA
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Zip | 16830-5428
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Country | US
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Telephone | 814-765-4681
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Fax | 814-765-7475
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS027808L
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License Number State | PA
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