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General NPI Number Information
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NPI Number | 1558374850
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Entity Type | Individual
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Provider Name | WILLIAM M FARMER D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 100 METHODIST BLVD
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City | HATTIESBURG
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State | MS
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Zip | 39402-1295
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Country | US
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Telephone | 601-268-5185
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Fax | 601-268-5185
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Provider Business Mailing Address
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Address Line | 9 E CADBURY LN
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City | HATTIESBURG
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State | MS
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Zip | 39402-5518
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Country | US
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Telephone | 601-596-3632
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Fax | 601-268-5185
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 18326
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License Number State | MS
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