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General NPI Number Information
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NPI Number | 1255438370
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Entity Type | Individual
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Provider Name | BARBARA LYNNE ACKERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 130 ENRIGHT AVE
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City | WILLOWS
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State | CA
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Zip | 95988
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Country | US
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Telephone | 530-934-4682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 103
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City | WILLOWS
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State | CA
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Zip | 95988
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G84156
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101052686
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G84156
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License Number State | CA
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