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General NPI Number Information
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NPI Number | 1174614622
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Entity Type | Individual
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Provider Name | ESTELLE R FARRELL DO
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 4921 E BELL RD STE 203
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6002
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Country | US
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Telephone | 480-955-1515
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Fax | 844-287-5554
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Provider Business Mailing Address
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Address Line | 13835 N TATUM BLVD STE 9236
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City | PHOENIX
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State | AZ
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Zip | 85032-0405
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Country | US
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Telephone | 480-209-4554
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Fax | 844-287-5554
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 3223
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 3223
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License Number State | AZ
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