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General NPI Number Information
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NPI Number | 1134943475
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Entity Type | Individual
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Provider Name | ELIZABETH KIRKLAND FARLEIGH PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 7611 FOREST AVE STE 330
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City | RICHMOND
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State | VA
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Zip | 23229-4946
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Country | US
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Telephone | 804-219-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 DARBY DR
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-1319
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Country | US
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Telephone | 804-432-6816
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110010075
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0110010075
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License Number State | VA
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