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General NPI Number Information
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NPI Number | 1043898422
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Entity Type | Individual
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Provider Name | EMILY NICOLE BARNES DPM
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 929 E MONTCLAIR ST STE 100
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5068
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Country | US
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Telephone | 417-883-1881
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Fax |
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Provider Business Mailing Address
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Address Line | 929 E MONTCLAIR ST STE 100
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5068
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Country | US
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Telephone | 515-783-4601
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2024015161
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License Number State | MO
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