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General NPI Number Information
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NPI Number | 1093483034
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Entity Type | Individual
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Provider Name | BARNABAS YOO
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Gender | Male
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 2336 WISTERIA DR STE 420
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City | SNELLVILLE
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State | GA
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Zip | 30078-6160
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Country | US
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Telephone | 404-590-5366
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Fax |
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Provider Business Mailing Address
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Address Line | PHYSICAL THERAPY PROS 2336 WISTERIA DR., STE 420
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City | SNELLVILLE
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State | GA
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Zip | 30078
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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