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General NPI Number Information
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NPI Number | 1891413134
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Entity Type | Organization
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Legal Business Name | JAMES E FARROW DMD, SC
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 644 W MONROE ST
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City | SPRINGFIELD
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State | IL
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Zip | 62704-1827
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Country | US
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Telephone | 217-544-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 644 W MONROE ST
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City | SPRINGFIELD
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State | IL
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Zip | 62704-1827
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Country | US
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Telephone | 217-544-2232
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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. JAMES ERVIN FARROW
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Credential | DMD
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Telephone | 217-638-9194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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