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NPI 1356335186

NPI 1356335186 : FRANCIS BARRA DDS : ONEONTA, NY

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General NPI Number Information
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    NPI Number           |    1356335186
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCIS BARRA DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/08/2005
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    Last Update Date     |    01/20/2016
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Provider Practice Location Address
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    Address Line         |    1 FOX CARE DR SUITE 304
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    City                 |    ONEONTA
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    State                |    NY
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    Zip                  |    13820-2086
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    Country              |    US
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    Telephone            |    607-431-5323
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3711 QUEENS BLVD SUITE 304
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11101-1725
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    Country              |    US
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    Telephone            |    718-361-5155
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    Fax                  |    718-361-5149
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    035222
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    License Number State |    NY
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