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General NPI Number Information
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NPI Number | 1093764417
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Entity Type | Individual
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Provider Name | WAYNE L FARLEY JR. DO
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 642 W HOSPITAL RD
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City | PAOLI
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State | IN
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Zip | 47454-9672
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Country | US
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Telephone | 812-723-7450
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Fax | 812-723-7450
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | H8031
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 02007422A
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License Number State | IN
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