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Individual
DR. FARRAH GASTON
Active
Individual
DR. FARRAH GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MA, FAAP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125077841
IL
207R00000X
Internal Medicine Physician
E-20234
AR
208000000X
Pediatrics Physician
125077841
IL
208000000X
Pediatrics Physician
E-20234
AR
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
E-20234
AR
Other
Enumeration date
03/27/2021
Last updated
09/28/2026
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