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General NPI Number Information
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NPI Number | 1225565880
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Entity Type | Individual
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Provider Name | HADIATOU BARRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 1133 S 2ND ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2874
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Country | US
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Telephone | 502-999-7760
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 S 2ND ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2874
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Country | US
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Telephone | 502-999-7760
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 03617878
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 57783
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License Number State | KY
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