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General NPI Number Information
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NPI Number | 1295028306
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Entity Type | Individual
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Provider Name | BARRON NONE FAZEKAS CNA
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Gender | Male
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 111 SAN MARCO DR
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City | ISLAMORADA
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State | FL
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Zip | 33036-3305
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Country | US
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Telephone | 305-664-4604
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Fax |
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Provider Business Mailing Address
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Address Line | 111 SAN MARCO DR
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City | ISLAMORADA
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State | FL
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Zip | 33036-3305
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Country | US
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Telephone | 305-664-4604
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA31305
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License Number State | FL
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