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General NPI Number Information
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NPI Number | 1649802281
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Entity Type | Organization
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Legal Business Name | FARRAR AND ASSOCIATES MENTAL HEALTH SC
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 16 TRI PARK WAY
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City | APPLETON
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State | WI
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Zip | 54914-1658
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Country | US
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Telephone | 920-841-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 16 TRI PARK WAY
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City | APPLETON
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State | WI
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Zip | 54914-1658
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Country | US
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Telephone | 920-841-8326
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TASHA FARRAR
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Credential | MD
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Telephone | 920-841-8326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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