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General NPI Number Information
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NPI Number | 1851897722
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Entity Type | Individual
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Provider Name | FARNG LOVELAND DDS
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Gender | Female
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 04/01/2018
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Provider Practice Location Address
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Address Line | 1125 S 7 HWY
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-3204
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Country | US
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Telephone | 816-622-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 834 N LAWRENCE LN
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City | WICHITA
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State | KS
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Zip | 67206-1637
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Country | US
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Telephone |
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2018003192
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License Number State | MO
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