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General NPI Number Information
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NPI Number | 1003477225
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Entity Type | Individual
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Provider Name | IRENE BARFOOT CMT
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 10090 PASADENA AVE STE B2
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City | CUPERTINO
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State | CA
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Zip | 95014-5939
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Country | US
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Telephone | 408-406-5782
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 CARLSBAD DR APT 1
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City | SAN JOSE
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State | CA
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Zip | 95118-3207
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Country | US
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Telephone | 408-406-5782
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 27064
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License Number State | CA
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