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General NPI Number Information
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NPI Number | 1073851598
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Entity Type | Individual
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Provider Name | BETTY A BARR PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 303 MAIN ST
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City | SPENCER
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State | WV
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Zip | 25276-1313
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Country | US
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Telephone | 304-927-7775
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Fax | 304-927-7774
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Provider Business Mailing Address
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Address Line | PO BOX 390
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City | HUNTINGTON
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State | WV
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Zip | 25708-0390
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Country | US
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Telephone | 304-429-1088
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Fax | 304-354-5963
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 01696
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License Number State | WV
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