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General NPI Number Information
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NPI Number | 1043677412
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Entity Type | Organization
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Legal Business Name | ACN BAROMEDICAL CENTER
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1585 BLANDING BLVD SUITE 1 & 2
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City | JACKSONVILLE
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State | FL
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Zip | 32210
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Country | US
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Telephone | 904-683-9387
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Fax |
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Provider Business Mailing Address
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Address Line | 1585 BLANDING BLVD SUITE 1 & 2
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City | JACKSONVILLE
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State | FL
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Zip | 32210
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Country | US
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Telephone | 904-683-9387
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. CLAUDE BAROSY
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Credential | MD
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Telephone | 904-683-9387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MDACN330
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License Number State | FL
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