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General NPI Number Information
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NPI Number | 1407856958
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Entity Type | Individual
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Provider Name | CLARANCE STEPHEN FARMER II MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 499 GLOSTER CREEK VLG SUITE A1
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City | TUPELO
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State | MS
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Zip | 38801-4600
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Country | US
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Telephone | 662-377-7100
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Fax | 662-377-7115
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Provider Business Mailing Address
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Address Line | PO BOX 829
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City | TUPELO
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State | MS
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Zip | 38802-0829
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Country | US
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Telephone | 662-377-7100
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Fax | 662-377-7115
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 21398
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 12111
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License Number State | MS
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