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General NPI Number Information
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NPI Number | 1023261815
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Entity Type | Organization
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Legal Business Name | BARNES TALERO EYECARE INC
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 5722 HICKORY PLZ STE A5
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City | NASHVILLE
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State | TN
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Zip | 37211-8573
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Country | US
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Telephone | 615-915-2916
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Fax |
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Provider Business Mailing Address
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Address Line | 5722 HICKORY PLZ STE A5
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City | NASHVILLE
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State | TN
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Zip | 37211-8573
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Country | US
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Telephone | 615-915-2916
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA CRISTINA BARNES
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Credential | OPTOMETRIST O.D.
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Telephone | 615-915-2916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | TN
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