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General NPI Number Information
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NPI Number | 1285810804
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Entity Type | Organization
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Legal Business Name | DAVID W BARBER, OD
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 798 SOUTHPARK BLVD SUITE 24
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-3615
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Country | US
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Telephone | 804-524-0200
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Fax | 804-524-0400
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Provider Business Mailing Address
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Address Line | 798 SOUTHPARK BLVD SUITE 24
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-3615
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Country | US
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Telephone | 804-524-0200
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Fax | 804-524-0400
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. DAVID W BARBER
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Credential | O.D.
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Telephone | 804-524-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0618000151
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License Number State | VA
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