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General NPI Number Information
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NPI Number | 1114269164
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Entity Type | Individual
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Provider Name | DR. VIDA CHIBUZO BARON
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Gender | Female
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Dates
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Enumeration Date | 03/17/2013
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Last Update Date | 03/17/2013
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Provider Practice Location Address
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Address Line | 655 DEL PARQUE UNIT D
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City | SANTA BARBARA
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State | CA
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Zip | 93103-5730
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Country | US
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Telephone | 805-560-9070
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Fax | 805-564-2339
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Provider Business Mailing Address
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Address Line | 655 DEL PARQUE UNIT D
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City | SANTA BARBARA
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State | CA
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Zip | 93103-5730
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Country | US
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Telephone | 805-560-9070
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Fax | 805-564-2339
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | GFE26745
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License Number State | CA
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