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General NPI Number Information
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NPI Number | 1134506793
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Entity Type | Individual
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Provider Name | GLENN BARNES D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 3227 E WARM SPRINGS RD BLDG 23 SUITE 300
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City | LAS VEGAS
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State | NV
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Zip | 89120
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Country | US
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Telephone | 702-209-3590
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Fax | 702-359-5344
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Provider Business Mailing Address
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Address Line | 96 MISTY RAIN ST
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City | HENDERSON
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State | NV
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Zip | 89012-5656
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Country | US
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Telephone | 702-234-5981
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Fax | 702-359-5344
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | DO2246
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License Number State | NV
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