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General NPI Number Information
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NPI Number | 1073445904
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Entity Type | Individual
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Provider Name | MR. OLIVER BARR
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Gender | Male
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 146 MEDICAL PARK RD
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City | MOORESVILLE
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State | NC
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Zip | 28117-8528
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Country | US
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Telephone | 704-471-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 146 MEDICAL PARK RD
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City | MOORESVILLE
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State | NC
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Zip | 28117-8528
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Country | US
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Telephone | 734-773-5867
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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 | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 2083P0011X
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License Number State | NC
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