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General NPI Number Information
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NPI Number | 1588110142
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Entity Type | Individual
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Provider Name | TARA ALYSE FARMER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1101 E FRONT ST
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City | MIDLAND
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State | TX
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Zip | 79701-4934
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Country | US
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Telephone | 432-686-8593
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 W SHANDON AVE
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City | MIDLAND
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State | TX
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Zip | 79705-6328
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Country | US
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Telephone | 325-895-5643
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 58844
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License Number State | TX
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