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General NPI Number Information
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NPI Number | 1114931573
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Entity Type | Individual
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Provider Name | GARY ANDREW BARKOCY DO
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 409 RUSSELL BLVD STE A
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1248
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Country | US
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Telephone | 936-560-4327
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Fax | 866-927-4221
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Provider Business Mailing Address
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Address Line | 409 RUSSELL BLVD STE A
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1248
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Country | US
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Telephone | 936-560-4327
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Fax | 866-927-4221
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L2126
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License Number State | TX
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