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General NPI Number Information
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NPI Number | 1205892544
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Entity Type | Individual
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Provider Name | KHAMISAH BARGER MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 10666 N TORREY PINES RD 404C
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City | LA JOLLA
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State | CA
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Zip | 92037-1027
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Country | US
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Telephone | 858-455-9100
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Fax | 858-554-3365
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Provider Business Mailing Address
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Address Line | 10666 N TORREY PINES RD 404C
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City | LA JOLLA
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State | CA
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Zip | 92037-1027
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Country | US
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Telephone | 858-455-9100
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Fax | 858-554-3365
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A72692
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License Number State | CA
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