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General NPI Number Information
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NPI Number | 1265504443
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Entity Type | Individual
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Provider Name | VALERIE J BARBER O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 2121 S STATE ROUTE 157
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3691
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Country | US
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Telephone | 618-656-7774
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Fax | 618-656-0536
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Provider Business Mailing Address
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Address Line | PO BOX 207163
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City | DALLAS
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State | TX
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Zip | 75320-7163
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Country | US
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Telephone | 636-200-4393
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Fax | 636-527-0766
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046-008843
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License Number State | IL
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