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General NPI Number Information
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NPI Number | 1174514970
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Entity Type | Individual
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Provider Name | STEPHEN L BARRETT DPM, FACFAS, MBA
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 2520 WINDY HILL RD SE STE 205
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City | MARIETTA
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State | GA
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Zip | 30067-8650
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Country | US
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Telephone | 404-228-9892
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 DOWNWOOD CIR NW STE 520A
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City | ATLANTA
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State | GA
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Zip | 30327-1610
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Country | US
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Telephone | 404-228-9892
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0924
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0557
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD000822
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD000822
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License Number State | GA
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