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General NPI Number Information
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NPI Number | 1184336083
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Entity Type | Individual
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Provider Name | ROBERT DOYLE BARNES RPH
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Gender | Male
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 9943 MAINE AVE
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City | LAKESIDE
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State | CA
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Zip | 92040
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Country | US
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Telephone | 619-443-1013
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Fax |
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Provider Business Mailing Address
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Address Line | 9217 CALLE LUCIA
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City | LAKESIDE
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State | CA
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Zip | 92040
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Country | US
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Telephone | 619-647-6566
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28662
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License Number State | CA
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