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General NPI Number Information
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NPI Number | 1356766752
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Entity Type | Individual
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Provider Name | CARNILLE PATRICE FARQUHARSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 121 STEUART ST SUITE 420
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-1236
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Country | US
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Telephone | 415-504-3838
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Fax | 415-504-1367
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Provider Business Mailing Address
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Address Line | THOMPSON LANE STAPLEDON GARDENS
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City | NEW PROVIDENCE
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State | WEST INDIES
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Zip | SP60568
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Country | BS
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Telephone | 242-326-1666
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Fax | 242-326-1665
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 055217
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License Number State | GA
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