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Individual
DR. LESLI EAREHART FARRIS
Active
Individual
DR. LESLI EAREHART FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2048
WV
208M00000X
Hospitalist Physician
Primary
2048
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020098
—
WV
01
—
P01067355
MEDICARE RAILROAD
WV
Enumeration date
06/27/2008
Last updated
12/18/2015
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