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General NPI Number Information
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NPI Number | 1255431649
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Entity Type | Individual
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Provider Name | JUDY L FARNESS NP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 1626 MEDICAL CENTER DR STE 400 4TH FLOOR
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City | EL PASO
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State | TX
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Zip | 79902-5000
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Country | US
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Telephone | 915-546-9200
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Fax | 915-546-9800
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Provider Business Mailing Address
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Address Line | 1626 MEDICAL CENTER DR STE 400 4TH FLOOR
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City | EL PASO
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State | TX
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Zip | 79902-5000
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Country | US
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Telephone | 915-546-9200
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Fax | 915-546-9800
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 428622
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License Number State | TX
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