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General NPI Number Information
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NPI Number | 1720214042
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Entity Type | Individual
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Provider Name | MONIQUE R. FARROW MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 3701 MARKET ST FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5505
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Country | US
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Telephone | 215-662-6035
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Fax | 215-349-5228
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Provider Business Mailing Address
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Address Line | 3701 MARKET ST FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5505
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Country | US
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Telephone | 215-662-6035
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Fax | 215-349-5228
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD469138
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License Number State | PA
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