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General NPI Number Information
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NPI Number | 1982447868
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Entity Type | Individual
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Provider Name | C. CHANCE FARRIS DMD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 220 ALABAMA ST
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City | COLUMBUS
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State | MS
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Zip | 39702-5204
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Country | US
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Telephone | 662-328-5197
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Fax | 662-327-5174
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Provider Business Mailing Address
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Address Line | 626 S MONTGOMERY ST APT 22
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City | STARKVILLE
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State | MS
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Zip | 39759-3843
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Country | US
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Telephone | 601-325-8242
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4448-24
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License Number State | MS
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