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General NPI Number Information
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NPI Number | 1972572618
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Entity Type | Organization
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Legal Business Name | FARROW MEDICAL INNOVATIONS
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3141 BRIARCREST DR STE 518
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City | BRYAN
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State | TX
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Zip | 77802-3055
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Country | US
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Telephone | 877-417-5187
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Fax | 714-415-5570
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Provider Business Mailing Address
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Address Line | 3141 BRIARCREST DR STE 518
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City | BRYAN
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State | TX
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Zip | 77802-3055
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Country | US
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Telephone | 877-417-5187
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Fax | 714-415-5570
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. WADE PHIL FARROW
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Credential | MD, CWS, FCCWS
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Telephone | 877-417-5187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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