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General NPI Number Information
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NPI Number | 1316480890
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Entity Type | Organization
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Legal Business Name | MEREDITH A. BARBER, O.D., INC.
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 8471 BEVERLY BLVD STE 105
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City | LOS ANGELES
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State | CA
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Zip | 90048-3452
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Country | US
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Telephone | 310-360-8220
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Fax | 310-360-8212
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Provider Business Mailing Address
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Address Line | 8471 BEVERLY BLVD STE 105
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City | LOS ANGELES
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State | CA
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Zip | 90048-3452
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Country | US
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Telephone | 310-360-8220
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Fax | 310-360-8212
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEREDITH A BARBER
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Credential | O.D.
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Telephone | 703-937-7245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13939
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License Number State | CA
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