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General NPI Number Information
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NPI Number | 1114846771
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Entity Type | Individual
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Provider Name | DERICK FARROW
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Gender | Male
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 200 MEDICAL CENTER DR
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City | HAZARD
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State | KY
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Zip | 41701-9466
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Country | US
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Telephone | 606-435-7200
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Fax | 859-280-2589
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Provider Business Mailing Address
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Address Line | 2532 BICK CREEK RD.
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City | HAZARD
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State | KY
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Zip | 41701
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Country | US
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Telephone | 606-435-7200
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Fax | 859-280-2589
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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