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General NPI Number Information
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NPI Number | 1194847046
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Entity Type | Individual
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Provider Name | ALVAN WILLIAM BARBER MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 70 FOX RIDGE CT STE B
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City | DEBARY
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State | FL
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Zip | 32713-2752
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Country | US
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Telephone | 407-625-9486
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Fax |
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Provider Business Mailing Address
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Address Line | 3491 S MELLONVILLE AVE
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City | SANFORD
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State | FL
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Zip | 32773-9607
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Country | US
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Telephone | 407-625-9486
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Fax | 497-328-9486
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0062654
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License Number State | FL
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