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General NPI Number Information
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NPI Number | 1356273981
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Entity Type | Individual
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Provider Name | SAMUEL LUIS BARRON DO
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Gender | Male
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Dates
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Enumeration Date | 05/29/2026
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Last Update Date | 05/29/2026
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Provider Practice Location Address
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Address Line | 8815 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2722
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Country | US
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Telephone | 215-248-8145
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 BIBBS RD APT 10
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City | VOORHEES
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State | NJ
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Zip | 08043-2154
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Country | US
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Telephone | 915-637-8528
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OT025290
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License Number State | PA
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