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General NPI Number Information
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NPI Number | 1639354822
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Entity Type | Individual
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Provider Name | JEFFREY JOHN FARRAH DC, APRN
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Gender | Male
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 10/05/2019
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Provider Practice Location Address
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Address Line | 2425 MAHAN DR STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32308-2301
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Country | US
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Telephone | 850-386-8282
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Fax | 850-386-7184
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Provider Business Mailing Address
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Address Line | 2425 MAHAN DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-2301
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Country | US
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Telephone | 850-386-8282
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9462
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11004162
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License Number State | FL
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