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General NPI Number Information
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NPI Number | 1134878374
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Entity Type | Organization
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Legal Business Name | KATRINA BARNETT
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 4182 MANUELA AVE
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City | PALO ALTO
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State | CA
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Zip | 94306-3702
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Country | US
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Telephone | 516-993-8804
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Fax |
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Provider Business Mailing Address
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Address Line | 4182 MANUELA AVE
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City | PALO ALTO
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State | CA
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Zip | 94306-3702
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Country | US
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Telephone | 516-993-8804
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Fax |
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Authorized Official
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Title or Position | EMERGENCY MEDICINE
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Name | KATRINA BARNETT
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Credential | MD
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Telephone | 516-993-8804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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