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General NPI Number Information
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NPI Number | 1942575279
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Entity Type | Organization
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Legal Business Name | STEPHEN J FARMER, MD PA
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 06/04/2012
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Provider Practice Location Address
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Address Line | 350 WESTPARK WAY STE 120
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City | EULESS
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State | TX
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Zip | 76040-3731
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Country | US
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Telephone | 817-571-6863
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Fax | 817-540-5775
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Provider Business Mailing Address
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Address Line | 350 WESTPARK WAY STE 120
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City | EULESS
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State | TX
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Zip | 76040-3731
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Country | US
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Telephone | 817-571-6863
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Fax | 817-540-5775
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Authorized Official
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Title or Position | OWNER
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Name | STEHPHEN JAMES FARMER
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Credential | M.D. P.A.
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Telephone | 817-571-6863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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