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General NPI Number Information
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NPI Number | 1285778670
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Entity Type | Individual
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Provider Name | LISA S. BARRETT MD
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Gender | Female
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 210 THUNDERBIRD DR STE T
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City | EL PASO
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State | TX
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Zip | 79912-3910
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Country | US
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Telephone | 915-300-0287
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Fax | 915-314-0474
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Provider Business Mailing Address
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Address Line | 5833 VIA CUESTA DR
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City | EL PASO
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State | TX
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Zip | 79912-6610
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Country | US
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Telephone | 915-539-7841
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.096055
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | Q7639
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD2020-0734
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License Number State | NM
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