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General NPI Number Information
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NPI Number | 1316443401
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Entity Type | Individual
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Provider Name | DENISE BARNES
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 608 BLUEBILL CT
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City | POINCIANA
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State | FL
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Zip | 34759-4519
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Country | US
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Telephone | 321-441-6021
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Fax | 863-469-5778
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Provider Business Mailing Address
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Address Line | 608 BLUEBILL CT
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City | POINCIANA
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State | FL
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Zip | 34759-4519
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Country | US
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Telephone | 321-441-6021
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Fax | 863-469-5778
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 6906896
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 6906896
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License Number State | FL
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