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General NPI Number Information
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NPI Number | 1225709264
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Entity Type | Individual
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Provider Name | ANTHONY CLAY BARNES DPT
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Gender | Male
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 150 CLEARBROOK RD STE 188A
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City | ELMSFORD
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State | NY
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Zip | 10523-1128
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Country | US
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Telephone | 914-909-3772
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Fax | 914-909-3773
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Provider Business Mailing Address
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Address Line | 2408 BATHGATE AVE APT 3
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City | BRONX
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State | NY
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Zip | 10458-5908
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Country | US
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Telephone | 631-813-3665
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 046572-01
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License Number State | NY
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