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General NPI Number Information
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NPI Number | 1053410142
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Entity Type | Individual
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Provider Name | REGINALD DACOSTA BARNES JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 2112 F ST NW STE 802
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City | WASHINGTON
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State | DC
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Zip | 20037-2763
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Country | US
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Telephone | 202-331-1757
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Fax | 202-331-1757
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Provider Business Mailing Address
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Address Line | 18921 CELEBRITY LN
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City | SANDY SPRING
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State | MD
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Zip | 20860-1502
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Country | US
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Telephone | 301-260-2582
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Fax | 202-331-1757
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD19770
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License Number State | DC
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