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General NPI Number Information
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NPI Number | 1508503822
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Entity Type | Individual
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Provider Name | CHRISTINA D FARMER NP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 3415 MACCORKLE AVE SE
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City | CHARLESTON
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State | WV
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Zip | 25304-1334
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Country | US
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Telephone | 304-388-8380
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Fax |
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Provider Business Mailing Address
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Address Line | 149 LICHEN LN
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City | COOL RIDGE
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State | WV
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Zip | 25825-9351
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Country | US
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Telephone | 304-575-9325
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 121398
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License Number State | WV
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