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General NPI Number Information
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NPI Number | 1205411170
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Entity Type | Individual
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Provider Name | SERENA FARNELL
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Gender | Female
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1301 E NINE MILE RD
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City | HENRICO
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State | VA
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Zip | 23075-2305
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Country | US
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Telephone | 561-839-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 HOXTON RD UNIT 3106
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City | RICHMOND
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State | VA
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Zip | 23228-2273
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Country | US
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Telephone | 561-839-0870
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 070901
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202222001
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License Number State | VA
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