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General NPI Number Information
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NPI Number | 1336118843
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Entity Type | Individual
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Provider Name | GUY R. FARMER JR. DO
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 232 STARLYN AVE
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City | NEW ALBANY
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State | MS
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Zip | 38652-2428
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Country | US
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Telephone | 662-534-5891
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Fax | 662-534-5970
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Provider Business Mailing Address
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Address Line | PO BOX 405827
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City | ATLANTA
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State | GA
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Zip | 30384-5827
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Country | US
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Telephone | 870-934-5821
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Fax | 870-934-5384
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 14294
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 02002767A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 14294
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License Number State | MS
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