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General NPI Number Information
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NPI Number | 1245006253
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Entity Type | Organization
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Legal Business Name | VANITA D. FARROW, DMD, P.S.C.
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 385 BRENTON WAY
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-9226
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Country | US
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Telephone | 502-955-6982
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Fax |
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Provider Business Mailing Address
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Address Line | 385 BRENTON WAY
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-9226
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Country | US
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Telephone | 502-955-6982
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANITA D FARROW
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Credential | DMD
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Telephone | 502-955-6982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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