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General NPI Number Information
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NPI Number | 1134701840
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Entity Type | Individual
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Provider Name | CHRISTINE ROSE BARRY DMD, MPH
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Gender | Female
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1 CAPITAL WAY
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City | CRANSTON
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State | RI
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Zip | 02910-3213
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Country | US
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Telephone | 401-942-4867
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 062642
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN03709
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License Number State | RI
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