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General NPI Number Information
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NPI Number | 1063106557
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Entity Type | Individual
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Provider Name | RICHARD KIRK FARMER HIS
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Gender | Male
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 6500 CREEDMOOR RD STE 114
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City | RALEIGH
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State | NC
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Zip | 27613-3698
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Country | US
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Telephone | 919-812-2283
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Fax |
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Provider Business Mailing Address
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Address Line | 6863 COOPERS HAWK TRL
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City | WENDELL
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State | NC
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Zip | 27591-6726
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Country | US
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Telephone | 919-181-2228
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1660
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License Number State | NC
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