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General NPI Number Information
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NPI Number | 1174102743
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Entity Type | Individual
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Provider Name | ELIZABETH A BARKER ATC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 488 MAIN ST
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City | HILL CITY
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State | SD
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Zip | 57745-5774
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Country | US
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Telephone | 605-574-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 2044 PROMISE RD APT 2415
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City | RAPID CITY
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State | SD
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Zip | 57701-8922
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Country | US
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Telephone | 605-645-2841
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0635
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License Number State | SD
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