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General NPI Number Information
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NPI Number | 1336785138
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Entity Type | Individual
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Provider Name | GEORGE R BARNES JR. NP
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Gender | Male
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 616 CHAFFEE ST
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City | TALLADEGA
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State | AL
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Zip | 35160-2809
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Country | US
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Telephone | 334-538-0505
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Fax | 334-272-6191
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Provider Business Mailing Address
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Address Line | PO BOX 242848
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City | MONTGOMERY
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State | AL
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Zip | 36124-2848
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10191325
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License Number State | AL
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