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General NPI Number Information
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NPI Number | 1437414406
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Entity Type | Individual
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Provider Name | THOR FARNSWORTH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 9040A JACKSON AVE
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98431-5001
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Country | US
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Telephone | 253-968-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 9040A JACKSON AVE
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-1110
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 85271
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 82448
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 58952
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 71792
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD61157895
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-17603
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License Number State | HI
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 313383
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License Number State | LA
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.136625
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 29255
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License Number State | WV
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Taxonomy #10
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD469344
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License Number State | PA
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