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General NPI Number Information
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NPI Number | 1962619759
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Entity Type | Organization
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Legal Business Name | FARMINGTON ASSOCIATES
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 24230 KARIM BLVD SUITE 150
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City | NOVI
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State | MI
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Zip | 48375-2960
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Country | US
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Telephone | 248-473-9410
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Fax | 248-473-0038
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Provider Business Mailing Address
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Address Line | 24230 KARIM BLVD SUITE 150
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City | NOVI
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State | MI
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Zip | 48375-2960
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Country | US
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Telephone | 248-473-9410
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Fax | 248-473-0038
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RUTH BOYMAN
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Credential | M.D.
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Telephone | 248-473-9410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | RB044945
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License Number State | MI
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