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General NPI Number Information
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NPI Number | 1962674291
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Entity Type | Individual
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Provider Name | DANNY B FARRIS CSA
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Gender | Male
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 04/08/2013
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Provider Practice Location Address
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Address Line | 10039 BISSONNET ST SUITE 250
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City | HOUSTON
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State | TX
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Zip | 77036-7854
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Country | US
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Telephone | 901-829-2577
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Fax | 901-829-2577
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Provider Business Mailing Address
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Address Line | 10039 BISSONNET SUITE 250
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 901-829-2577
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Fax | 901-829-2577
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 3015
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License Number State | TN
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