Basic Information
Provider Information
NPI: 1568509842
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FARO
FirstName: FRANCES
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ONE MEDICAL CENTER DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037560001
CountryCode: US
TelephoneNumber: 6036505133
FaxNumber: 3037884871
Practice Location
Address1: ONE MEDICAL CENTER DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037560001
CountryCode: US
TelephoneNumber: 6036505133
FaxNumber: 3037884871
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 09/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X44431CON Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0004X44431CON Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
207X00000X20804NHY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
12980200005WY MEDICAID
200969060B05KS MEDICAID
124555609105NE MEDICAID
0970436105CO MEDICAID


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