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General NPI Number Information
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NPI Number | 1639393010
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Entity Type | Individual
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Provider Name | DEBRA FARR RPH.,BS PHARM. MTMCP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 29345 SW TOWN CENTER LOOP E STE 214
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City | WILSONVILLE
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State | OR
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Zip | 97070-8486
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Country | US
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Telephone | 503-582-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 21925 SW 109TH TER
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City | TUALATIN
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State | OR
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Zip | 97062-6040
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Country | US
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Telephone | 503-708-6446
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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 | PH00020916
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 8159
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 8159
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License Number State | OR
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