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General NPI Number Information
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NPI Number | 1083111066
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Entity Type | Individual
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Provider Name | JEANINEA PILAR BARE DO
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Gender | Female
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 6200 HOSPITALITY DR FL 1
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City | FRANKLIN
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State | TN
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Zip | 37067-5023
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Country | US
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Telephone | 917-634-5311
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MULLINS DR
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City | LEBANON
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State | OR
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Zip | 97355-3983
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 335907-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34.017948
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5786
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License Number State | TN
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