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General NPI Number Information
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NPI Number | 1265595839
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Entity Type | Individual
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Provider Name | JOHN BRANDON BARRON M.ED.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5041 DALLAS HWY SUITE 704-C
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-6458
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Country | US
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Telephone | 678-331-3041
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Fax | 404-876-2909
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Provider Business Mailing Address
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Address Line | 80 ALDEN AVE NW
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City | ATLANTA
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State | GA
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Zip | 30309-2007
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Country | US
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Telephone | 404-543-5434
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Fax | 404-876-2909
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP004105
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License Number State | GA
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