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NPI 1801789680

NPI 1801789680 : FARR FAMILY DENTISTRY LLC : MILLEDGEVILLE, GA

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General NPI Number Information
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    NPI Number           |    1801789680
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    Entity Type          |    Organization 
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    Legal Business Name  |    FARR FAMILY DENTISTRY LLC 
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Dates
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    Enumeration Date     |    05/31/2025
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    Last Update Date     |    06/02/2025
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Provider Practice Location Address
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    Address Line         |    395 MEADOW RIDGE CIRCLE 
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    City                 |    MILLEDGEVILLE
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    State                |    GA
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    Zip                  |    31061-8741
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    Country              |    US
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    Telephone            |    478-223-9975
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    Fax                  |    478-223-9320
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Provider Business Mailing Address
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    Address Line         |    395 MEADOW RIDGE CIRCLE 
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    City                 |    MILLEDGEVILLE
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    State                |    GA
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    Zip                  |    31061-8741
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    Country              |    US
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    Telephone            |    478-223-9975
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    Fax                  |    478-223-9320
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Authorized Official
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    Title or Position    |    MEMBER/OWNER
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    Name                 |    DR. HARRISON TAYLOR FARR 
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    Credential           |    DMD
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    Telephone            |    478-223-9975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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