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General NPI Number Information
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NPI Number | 1194231969
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Entity Type | Individual
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Provider Name | STEVEN LEE FARNSWORTH DDS, PHD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 15180 N COTTON LN STE 104
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City | SURPRISE
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State | AZ
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Zip | 85388-7000
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Country | US
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Telephone | 623-214-6543
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Fax |
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Provider Business Mailing Address
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Address Line | 649 N ASHBROOK CIR
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City | MESA
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State | AZ
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Zip | 85213-6714
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Country | US
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Telephone | 210-449-4125
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 1223D0004X
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License Number State | AZ
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