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General NPI Number Information
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NPI Number | 1659008589
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Entity Type | Individual
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Provider Name | JENNA LEE FARMER OD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 205 BULL RUN XING UNIT 1
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City | LEWISBURG
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State | PA
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Zip | 17837-6723
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Country | US
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Telephone | 570-524-4473
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WESTRIDGE LN
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City | LEWISBURG
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State | PA
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Zip | 17837-9201
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Country | US
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Telephone | 570-412-4489
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG004266
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License Number State | PA
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