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General NPI Number Information
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NPI Number | 1336191709
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Entity Type | Individual
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Provider Name | SUSAN MARIE BARRY DC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1685 HWY 395, #7
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City | MINDEN
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State | NV
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Zip | 89423
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Country | US
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Telephone | 775-782-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 1373 KIMMERLING RD
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City | GARDNERVILLE
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State | NV
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Zip | 89460-9046
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Country | US
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Telephone | 775-265-3683
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B00404
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License Number State | NV
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