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General NPI Number Information
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NPI Number | 1083946842
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Entity Type | Organization
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Legal Business Name | BRIAN L. FARQUHAR O.D., P.C.
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 2410 E CAMELBACK RD.
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City | PHOENIX
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State | AZ
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Zip | 85016
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Country | US
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Telephone | 480-785-6324
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Fax |
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Provider Business Mailing Address
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Address Line | 11835 S. APPALOOSA DR.
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City | PHOENIX
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State | AZ
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Zip | 85044
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Country | US
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Telephone | 480-785-6324
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OPTOMETRIST
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Name | BRIAN FARQUHAR
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Credential | O.D.
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Telephone | 480-785-6324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1567
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License Number State | AZ
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