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General NPI Number Information
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NPI Number | 1124174701
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Entity Type | Individual
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Provider Name | ANTONINO F. BARBERA MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 16172 HIGHWAY 9
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-8959
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Country | US
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Telephone | 303-667-1735
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Fax |
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Provider Business Mailing Address
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Address Line | 16172 HIGHWAY 9
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-8959
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Country | US
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Telephone | 303-667-1735
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 46361
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License Number State | CO
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