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General NPI Number Information
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NPI Number | 1457521395
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Entity Type | Organization
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Legal Business Name | DR DAVID FARRELL INC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 263 PEARSON DR STE 201
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City | PORTERVILLE
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State | CA
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Zip | 93257-3333
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Country | US
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Telephone | 559-782-9543
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Fax |
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Provider Business Mailing Address
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Address Line | 263 PEARSON DR STE 201
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City | PORTERVILLE
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State | CA
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Zip | 93257-3333
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Country | US
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Telephone | 559-782-9543
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J FARRELL
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Credential | M.D.
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Telephone | 559-782-9543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G866510
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License Number State | CA
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