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General NPI Number Information
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NPI Number | 1366243727
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Entity Type | Individual
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Provider Name | JONAH CANDIDO BARROS CAA
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Gender | Male
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 3360 BURNS RD FL 33410
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4323
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Country | US
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Telephone | 813-635-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 BARNARD CT
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City | FAIRFAX
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State | VA
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Zip | 22031-1905
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Country | US
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Telephone | 571-249-8484
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 2025038059
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License Number State | MO
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