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General NPI Number Information
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NPI Number | 1306057005
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Entity Type | Individual
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Provider Name | BARRY COLEMAN GREENFIELD RPA-C
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 310 EGG HARBOR RD
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City | SEWELL
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State | NJ
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Zip | 08080-1854
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Country | US
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Telephone | 888-985-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 201 DEFENSE HWY STE 205
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7096
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00233200
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License Number State | NJ
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