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NPI 1245423524

NPI 1245423524 : BARNETT FAMILY PRACTICE PLC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1245423524
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARNETT FAMILY PRACTICE PLC 
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Dates
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    Enumeration Date     |    08/21/2007
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    Last Update Date     |    08/21/2007
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Provider Practice Location Address
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    Address Line         |    7605 E PINNACLE PEAK RD 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-3412
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    Country              |    US
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    Telephone            |    480-502-4445
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    Fax                  |    480-502-2430
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Provider Business Mailing Address
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    Address Line         |    7605 E PINNACLE PEAK RD 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-3412
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    Country              |    US
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    Telephone            |    480-502-4445
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    Fax                  |    480-502-2430
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. TRACY J BARNETT 
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    Credential           |    D.O.
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    Telephone            |    480-502-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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