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General NPI Number Information
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NPI Number | 1104731132
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Entity Type | Individual
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Provider Name | BARNI MOHAMED
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 7710 BROOKLYN BLVD FL 1
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-2979
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Country | US
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Telephone | 763-373-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 13027 ERSKIN ST NE
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City | BLAINE
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State | MN
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Zip | 55449-2211
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Country | US
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Telephone | 612-501-2191
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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 | 125J00000X
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Taxonomy Name | Dental Therapist
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License Number | DT210
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License Number State | MN
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