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General NPI Number Information
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NPI Number | 1235265406
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Entity Type | Individual
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Provider Name | DENISE MARIE BARNARD ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 02/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25250 N 35TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85310-4335
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Country | US
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Telephone | 623-445-7146
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Fax |
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Provider Business Mailing Address
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Address Line | 11545 N FRANK LLOYD WRIGHT BLVD 2050
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-3141
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0701
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License Number State | AZ
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