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General NPI Number Information
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NPI Number | 1407029150
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Entity Type | Organization
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Legal Business Name | FARAIL, P.A.
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 208 WESLEY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-5809
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Country | US
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Telephone | 830-895-7606
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Fax | 830-257-0878
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Provider Business Mailing Address
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Address Line | 208 WESLEY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-5809
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Country | US
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Telephone | 830-895-7606
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Fax | 830-257-0878
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. JOHN D DAVIS
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Credential | M.D.
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Telephone | 830-895-7606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | E2531
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License Number State | TX
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