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General NPI Number Information
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NPI Number | 1700362498
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Entity Type | Organization
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Legal Business Name | FARNSWORTH ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 701 N CANYON ST
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City | CARLSBAD
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State | NM
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Zip | 88220-8822
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Country | US
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Telephone | 575-887-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N CANYON ST
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City | CARLSBAD
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State | NM
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Zip | 88220-5817
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Country | US
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Telephone | 575-887-2444
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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. DAVID FARNSWORTH
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Credential | DDS, MS
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Telephone | 480-285-4857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3765
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License Number State | NM
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