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General NPI Number Information
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NPI Number | 1225245921
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Entity Type | Individual
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Provider Name | JOSE ALBERTO BARRIOCANAL M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 975 E 3RD ST BOX 376
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-6213
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Fax | 423-778-6299
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Provider Business Mailing Address
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Address Line | 975 E 3RD ST BOX 376
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-6213
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Fax | 423-778-6299
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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 | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | P26885
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 51933
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License Number State | TN
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