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General NPI Number Information
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NPI Number | 1306134713
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Entity Type | Organization
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Legal Business Name | BARNES BARIATRIC SURGICAL SERVICES, PA
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 3608 PRESTON RD STE 105
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City | PLANO
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State | TX
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Zip | 75093-8652
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Country | US
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Telephone | 214-506-2660
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Fax | 972-865-6996
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Provider Business Mailing Address
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Address Line | 3608 PRESTON RD STE 105
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City | PLANO
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State | TX
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Zip | 75093-8652
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Country | US
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Telephone | 214-506-2660
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Fax | 972-865-6996
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Authorized Official
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Title or Position | CEO
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Name | DR. GREGORY BARNES
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Credential | M.D
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Telephone | 214-506-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L8610
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License Number State | TX
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