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General NPI Number Information
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NPI Number | 1356577340
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Entity Type | Individual
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Provider Name | ANGELA AU BARBERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 1 GRANITE POINT DR STE 100
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City | WYOMISSING
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State | PA
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Zip | 19610-1992
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Country | US
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Telephone | 610-378-1344
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Fax | 610-378-9508
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Provider Business Mailing Address
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Address Line | 1 GRANITE POINT DR STE 100
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City | WYOMISSING
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State | PA
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Zip | 19610-1992
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Country | US
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Telephone | 610-378-1344
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Fax | 610-378-9508
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD454129
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD454129
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License Number State | PA
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