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General NPI Number Information
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NPI Number | 1073220695
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Entity Type | Individual
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Provider Name | PAULA FRANCES FARR
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Gender | Female
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 549 HEALTH BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1493
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Country | US
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Telephone | 386-527-2075
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Fax |
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Provider Business Mailing Address
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Address Line | 67 SEABREEZE DR
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City | ORMOND BEACH
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State | FL
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Zip | 32176-3225
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Country | US
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Telephone | 386-527-2075
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number | 44-44-1760447
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License Number State | FL
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