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General NPI Number Information
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NPI Number | 1609223023
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Entity Type | Individual
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Provider Name | JOSEPH MARTIN FARKASH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 4913 GOLDEN FOOTHILL PKWY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9632
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Country | US
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Telephone | 530-556-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 28442 DRIVER AVE
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2616
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Country | US
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Telephone | 818-963-0696
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901022328
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS105206
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License Number State | CA
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