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General NPI Number Information
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NPI Number | 1548488133
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Entity Type | Individual
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Provider Name | WILLIAM J FARRELL R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 3104 DIXIE HWY
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City | ERLANGER
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State | KY
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Zip | 41018-1827
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Country | US
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Telephone | 859-426-0342
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Fax |
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Provider Business Mailing Address
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Address Line | 79 SUNNYMEDE DR
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City | FT MITCHELL
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State | KY
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Zip | 41017-2816
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Country | US
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Telephone | 859-341-5622
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Fax | 859-292-2873
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 007093
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License Number State | KY
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