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General NPI Number Information
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NPI Number | 1285600478
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Entity Type | Individual
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Provider Name | RICHARD J BARRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 2031 ANDERSON RD STE A
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City | DAVIS
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State | CA
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Zip | 95616-0672
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Country | US
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Telephone | 530-757-3700
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Fax | 530-756-6907
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Provider Business Mailing Address
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Address Line | 365 TUOLUMNE ST
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City | VALLEJO
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State | CA
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Zip | 94590-5700
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Country | US
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Telephone | 707-553-5044
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | C41905
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License Number State | CA
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