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General NPI Number Information
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NPI Number | 1952992893
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Entity Type | Individual
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Provider Name | COURTNEY FARMER RPH
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Gender | Female
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 5830 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3109
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Country | US
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Telephone | 718-966-9278
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Fax |
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Provider Business Mailing Address
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Address Line | 91 HILLCREST ST
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City | STATEN ISLAND
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State | NY
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Zip | 10308-2729
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Country | US
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Telephone | 917-922-9244
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 049594-1
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License Number State | NY
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