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General NPI Number Information
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NPI Number | 1104155506
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Entity Type | Organization
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Legal Business Name | PATRICE A. BARBER, DDS & ASSOCIATES, PA
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 5428 YADKIN RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-3199
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Country | US
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Telephone | 910-868-4664
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Fax | 910-868-4949
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Provider Business Mailing Address
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Address Line | 5428 YADKIN RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-3199
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Country | US
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Telephone | 910-868-4664
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Fax | 910-868-4949
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICE ARIS BARBER
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Credential | D.D.S.
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Telephone | 910-868-4664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7884
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License Number State | NC
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