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1700946241 NPI number — MARK D FARLEY DMD ORTHODONTIST

NPI Number: 1700946241
Health Care Provider/Practitioner: MARK D FARLEY DMD ORTHODONTIST

Information about “1700946241” NPI (MARK D FARLEY DMD ORTHODONTIST) exists in 1700946241 in HTML format HTML  |  1700946241 in plain Text format TXT  |  1700946241 in PDF (Portable Document Format) PDF  |  1700946241 in an XML format XML  formats.

NPI Number : 1700946241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700946241",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FARLEY",
    "FirstName": "MARK",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD ORTHODONTIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "80 SOUTH SHAW LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FT THOMAS",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41075",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-441-1487",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1809 ALEXANDRIA PIKE",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "HIGHLAND HEIGHTS",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "41076",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "859-441-7900",
    "PracticeLocationAddressFaxNumber": "859-441-5025",
    "EnumerationDate": "12/12/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223X0400X",
        "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
        "LicenseNumber": "KY5670",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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