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General NPI Number Information
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NPI Number | 1235396482
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Entity Type | Organization
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Legal Business Name | JOSE P BARBA M D P A
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 1 BAY AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-4837
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Country | US
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Telephone | 973-429-6096
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Fax | 973-429-6749
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Provider Business Mailing Address
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Address Line | PO BOX 224
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City | SADDLE RIVER
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State | NJ
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Zip | 07458-0224
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Country | US
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Telephone | 607-324-2340
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Fax | 607-324-7615
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSE P BARBA
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Credential | M D
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Telephone | 607-324-2340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA03706400
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License Number State | NJ
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