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General NPI Number Information
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NPI Number | 1326304239
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Entity Type | Individual
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Provider Name | NICHOLAS RICHARD BARRETT P.A.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1551 E TANGERINE RD
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City | ORO VALLEY
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State | AZ
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Zip | 85755-6213
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Country | US
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Telephone | 520-901-3500
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Fax | 659-235-6176
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Provider Business Mailing Address
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Address Line | 38935 ANN ARBOR RD CREDENTIALING DEPT
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City | LIVONIA
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State | MI
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Zip | 48150-3397
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Country | US
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Telephone | 734-632-0175
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Fax | 866-250-6385
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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 | 5601006350
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11042
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10934
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License Number State | AZ
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