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General NPI Number Information
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NPI Number | 1124834056
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Entity Type | Individual
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Provider Name | MICHAEL BARNIAK PHARM D
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Gender | Male
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1100 SHERMAN AVE
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City | HAMDEN
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State | CT
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Zip | 06514-1363
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Country | US
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Telephone | 203-747-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 1170 HIGH RD
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City | BERLIN
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State | CT
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Zip | 06037-1913
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Country | US
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Telephone | 860-378-5774
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PCT.0014888
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License Number State | CT
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