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General NPI Number Information
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NPI Number | 1417518564
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Entity Type | Individual
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Provider Name | DAVID S. FARROW NP
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Gender | Male
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 4600 E SHEA BLVD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85028-6031
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Country | US
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Telephone | 602-955-8700
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Fax | 602-553-8142
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Provider Business Mailing Address
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Address Line | 4350 E CAMELBACK RD STE F100
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City | PHOENIX
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State | AZ
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Zip | 85018-8313
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Country | US
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Telephone | 602-955-8700
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Fax | 602-553-8142
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 227089
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License Number State | AZ
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