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General NPI Number Information
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NPI Number | 1922544170
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Entity Type | Organization
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Legal Business Name | FARMER PRACTICE LLC
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 7701 CORRYTON RD
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City | CORRYTON
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State | TN
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Zip | 37721-2630
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Country | US
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Telephone | 865-992-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 7701 CORRYTON RD
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City | CORRYTON
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State | TN
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Zip | 37721-2630
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Country | US
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Telephone | 865-992-3030
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | FRANKLIN RYAN FARMER
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Credential | APN
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Telephone | 865-235-4906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20294
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License Number State | TN
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