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General NPI Number Information
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NPI Number | 1093746331
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Entity Type | Individual
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Provider Name | ABDUL JABBAR BARHOUSH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 1054 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34474-4221
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Country | US
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Telephone | 352-732-3036
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Fax | 352-368-3940
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Provider Business Mailing Address
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Address Line | 712 SE 3RD AVE
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City | OCALA
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State | FL
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Zip | 34471-3729
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Country | US
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Telephone | 352-732-3036
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Fax | 352-368-3940
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME21215
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME21215
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License Number State | FL
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