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General NPI Number Information
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NPI Number | 1467725333
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Entity Type | Individual
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Provider Name | GORDON KING FARLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 12015 E 46TH AVE STE 500
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City | DENVER
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State | CO
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Zip | 80239-3133
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Country | US
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Telephone | 303-477-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 835 MONACO PKWY
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City | DENVER
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State | CO
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Zip | 80220-4644
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Country | US
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Telephone | 303-355-4038
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 14313
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License Number State | CO
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