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General NPI Number Information
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NPI Number | 1215156393
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Entity Type | Organization
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Legal Business Name | BARNES HEALTHCARE OF FL LLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 1833 N EAST AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-6276
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Country | US
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Telephone | 850-785-2480
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Fax | 866-421-6133
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Provider Business Mailing Address
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Address Line | PO BOX 1187
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City | VALDOSTA
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State | GA
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Zip | 31603-1187
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Country | US
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Telephone | 229-245-6039
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Fax | 888-276-7881
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Authorized Official
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Title or Position | CEO/OWNER
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Name | CHARLIE BARNES IV
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Credential |
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Telephone | 229-245-6039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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