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General NPI Number Information
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NPI Number | 1164659660
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Entity Type | Organization
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Legal Business Name | MICHAEL BARAT MD INC.
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 830 AMHERST RD NE SUITE 208
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City | MASSILLON
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State | OH
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Zip | 44646-8518
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Country | US
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Telephone | 330-837-6842
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Fax | 330-837-6846
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Provider Business Mailing Address
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Address Line | 830 AMHERST RD NE SUITE 208
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City | MASSILLON
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State | OH
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Zip | 44646-8518
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Country | US
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Telephone | 330-837-6842
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Fax | 330-837-6846
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBBY L BRACEY
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Credential |
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Telephone | 330-837-6842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35050934B
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License Number State | OH
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