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General NPI Number Information
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NPI Number | 1245770023
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Entity Type | Individual
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Provider Name | JOHN THOMAS BARRETT FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 555 KNOWLES DR STE 201
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City | LOS GATOS
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State | CA
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Zip | 95032-1551
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Country | US
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Telephone | 408-866-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 555 KNOWLES DR STE 201
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City | LOS GATOS
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State | CA
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Zip | 95032-1551
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Country | US
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Telephone | 408-866-6651
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP017131
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95010979
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License Number State | CA
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