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General NPI Number Information
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NPI Number | 1043002371
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Entity Type | Organization
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Legal Business Name | BARRETTS SURGICAL ASSISTING INC.
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 900 JUNO OCEAN WALK LOT F1
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City | JUNO BEACH
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State | FL
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Zip | 33408-1120
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Country | US
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Telephone | 540-524-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 900 JUNO OCEAN WALK LOT F1
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City | JUNO BEACH
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State | FL
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Zip | 33408-1120
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Country | US
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Telephone | 540-524-8955
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Fax |
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Authorized Official
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Title or Position | SURGICAL ASSISTANT
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Name | CHARLES J BARRETT
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Credential | CSFA
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Telephone | 540-524-8955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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