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General NPI Number Information
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NPI Number | 1073745766
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Entity Type | Individual
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Provider Name | JEFFREY N BARNES PHARMD, MPS
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Gender | Male
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Dates
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Enumeration Date | 08/14/2009
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 52D MEDICAL GROUP UNIT 3690
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City | APO
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State | AE
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Zip | 09126
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Country | US
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Telephone | 4-965-6561
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 9 BOX 5224
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City | APO
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State | AE
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Zip | 09123-0053
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Country | US
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Telephone | 65-656-1815
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 15013
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License Number State | NE
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