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General NPI Number Information
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NPI Number | 1942662580
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Entity Type | Organization
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Legal Business Name | ERIC S. FARMER, DDS, P.A.
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 7520 W VILLAGE CIR
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City | WICHITA
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State | KS
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Zip | 67205-9362
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Country | US
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Telephone | 316-722-1110
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Fax | 316-773-3389
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Provider Business Mailing Address
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Address Line | 7520 W VILLAGE CIR
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City | WICHITA
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State | KS
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Zip | 67205-9362
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Country | US
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Telephone | 316-722-1110
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Fax | 316-773-3389
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. ERIC S FARMER
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Credential | DDS
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Telephone | 316-722-1110
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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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