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General NPI Number Information
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NPI Number | 1053825158
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Entity Type | Individual
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Provider Name | HANNAH NICOLE BARNETT PTA
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Gender | Female
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 5050 LINCOLN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47715-7390
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 3639 W 400 S
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City | BLOOMFIELD
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State | IN
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Zip | 47424-5065
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Country | US
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Telephone | 812-699-2577
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 06005603A
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License Number State | IN
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