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General NPI Number Information
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NPI Number | 1104851278
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Entity Type | Organization
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Legal Business Name | JOHN W BARNHART OD INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 4620 MAHONING AVE
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City | WARREN
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State | OH
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Zip | 44483-1419
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Country | US
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Telephone | 330-847-9093
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Fax | 330-847-2225
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Provider Business Mailing Address
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Address Line | 4620 MAHONING AVE
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City | WARREN
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State | OH
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Zip | 44483-1419
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Country | US
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Telephone | 330-847-9093
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Fax | 330-847-2225
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN W BARNHART
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Credential | OD
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Telephone | 330-847-9093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4265
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License Number State | OH
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