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NPI 1538393335

NPI 1538393335 : FARNI & FARNI DENTISTRY : SARALAND, AL

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General NPI Number Information
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    NPI Number           |    1538393335
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    Entity Type          |    Organization 
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    Legal Business Name  |    FARNI & FARNI DENTISTRY 
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Dates
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    Enumeration Date     |    05/07/2009
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    Last Update Date     |    05/07/2009
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Provider Practice Location Address
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    Address Line         |    1064 INDUSTRIAL PKWY 
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    City                 |    SARALAND
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    State                |    AL
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    Zip                  |    36571-3720
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    Country              |    US
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    Telephone            |    251-675-4313
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    Fax                  |    251-675-4355
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Provider Business Mailing Address
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    Address Line         |    1064 INDUSTRIAL PKWY 
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    City                 |    SARALAND
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    State                |    AL
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    Zip                  |    36571-3720
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    Country              |    US
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    Telephone            |    251-675-4313
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    Fax                  |    251-675-4355
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. SHONN  FARNI 
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    Credential           |    DMD
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    Telephone            |    251-675-4313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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