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General NPI Number Information
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NPI Number | 1033759568
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Entity Type | Individual
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Provider Name | MR. WAYNE GABRIEL BARKINS
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Gender | Male
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 25892 N JAMES MADISON HWY
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City | NEW CANTON
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State | VA
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Zip | 23123-2234
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Country | US
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Telephone | 434-390-0186
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Fax | 434-390-0186
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Provider Business Mailing Address
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Address Line | 702 PINE HARBOR CT
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City | CHESAPEAKE
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State | VA
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Zip | 23320-6741
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Country | US
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Telephone | 434-390-0186
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Fax | 800-651-8252
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1900650
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License Number State | VA
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