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General NPI Number Information
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NPI Number | 1245323484
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Entity Type | Individual
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Provider Name | DANNAH MITCHELL FARR RN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 880 S PLEASANTBURG DR STE 2E
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City | GREENVILLE
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State | SC
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Zip | 29607-2451
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Country | US
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Telephone | 864-370-7200
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Fax | 864-370-7200
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Provider Business Mailing Address
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Address Line | 106 E BUTLER RD STE A
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City | MAULDIN
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State | SC
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Zip | 29662-2154
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Country | US
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Telephone | 864-676-0020
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Fax | 864-676-0021
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 88004
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 88004
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 88004
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | IHCP-0086
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License Number State | SC
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