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General NPI Number Information
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NPI Number | 1063982023
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Entity Type | Individual
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Provider Name | ALEXANDRA MARIE BARBER RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 121 DEKALB AVE
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City | BROOKLYN
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State | NY
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Zip | 11201-5425
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Country | US
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Telephone | 718-250-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 100 JAY ST APT 5M
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City | BROOKLYN
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State | NY
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Zip | 11201-1549
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Country | US
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Telephone | 914-588-3744
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | F382937-1
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License Number State | NY
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