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General NPI Number Information
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NPI Number | 1083871727
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Entity Type | Organization
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Legal Business Name | MARY ANN FARMER, DPM
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 545 RUGH ST STE 3000
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City | GREENSBURG
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State | PA
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Zip | 15601-5695
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Country | US
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Telephone | 724-837-2657
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Fax | 724-837-5929
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Provider Business Mailing Address
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Address Line | 545 RUGH ST STE 3000
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City | GREENSBURG
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State | PA
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Zip | 15601-5695
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Country | US
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Telephone | 724-837-2657
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Fax | 724-837-5929
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Authorized Official
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Title or Position | PODIATRIC PHYSICIAN
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Name | DR. MARY A FARMER
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Credential | D.P.M.
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Telephone | 724-837-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | SC002434-L
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | SC002434L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC002434-L
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License Number State |
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