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General NPI Number Information
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NPI Number | 1114130721
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Entity Type | Individual
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Provider Name | AMARILDA BARABAS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2671 ALABAMA ST
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City | ATWATER
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State | CA
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Zip | 95301-2908
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Country | US
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Telephone | 209-358-7146
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Fax | 209-358-7147
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Provider Business Mailing Address
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Address Line | 1322 PLYMOUTH AVE
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City | ATWATER
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State | CA
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Zip | 95301-9473
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Country | US
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Telephone | 209-357-3875
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Fax | 209-358-7147
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 42803
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License Number State | CA
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