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General NPI Number Information
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NPI Number | 1396242244
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Entity Type | Individual
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Provider Name | WILLIAM STEADMAN FARMER MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2018
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 6807 KNIGHTDALE BLVD STE C
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City | KNIGHTDALE
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State | NC
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Zip | 27545-6563
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Country | US
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Telephone | 919-217-5510
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Fax | 919-217-5501
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Provider Business Mailing Address
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Address Line | 801 YORK ST
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City | MANITOWOC
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State | WI
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Zip | 54220-4630
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Country | US
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Telephone | 920-663-9008
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Fax | 920-684-1439
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD.44360
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 202400764
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 202400764
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License Number State | NC
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