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General NPI Number Information
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NPI Number | 1568671204
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Entity Type | Individual
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Provider Name | RORY COVETTE FARRIS MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 404 N MAIN ST
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City | ENTERPRISE
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State | AL
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Zip | 36330-2563
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Country | US
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Telephone | 334-308-9797
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Fax | 334-308-2909
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Provider Business Mailing Address
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Address Line | PO BOX 729
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City | DOTHAN
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State | AL
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Zip | 36302-0729
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Country | US
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Telephone | 334-793-2663
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Fax | 334-836-2247
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 27062
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License Number State | AL
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