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General NPI Number Information
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NPI Number | 1356516835
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Entity Type | Organization
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Legal Business Name | JORGE L BARROS MD PA
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 601 NORTH FLAMINGO ROAD SUITE 108
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City | PEMBROKE PINES
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State | FL
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Zip | 33028
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Country | US
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Telephone | 954-431-7323
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Fax | 954-435-1658
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Provider Business Mailing Address
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Address Line | 601 N FLAMINGO RD SUITE 108
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1015
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Country | US
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Telephone | 954-431-7323
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Fax | 954-435-1658
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JORGE LUIS BARROS
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Credential | MD
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Telephone | 954-431-7323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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