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General NPI Number Information
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NPI Number | 1679623375
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Entity Type | Individual
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Provider Name | RICHARD G. FARMER MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 1355 B LYNNFIELD ROAD SUITE 158
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City | MEMPHIS
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State | TN
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Zip | 38119
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Country | US
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Telephone | 901-685-1845
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Fax | 901-685-1847
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Provider Business Mailing Address
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Address Line | 1355B LYNNFIELD ROAD SUITE 158
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City | MEMPHIS
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State | TN
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Zip | 38119
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Country | US
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Telephone | 901-685-1845
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Fax | 901-685-1847
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | MD0000003897
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD0000003897
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License Number State | TN
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