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General NPI Number Information
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NPI Number | 1366881427
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Entity Type | Individual
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Provider Name | CODY JAMISON BARNES MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 4901 FOREST PARK AVE STE 420
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1495
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Country | US
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Telephone | 314-747-2829
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Fax | 314-362-5743
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE CB 8109
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-747-2829
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Fax | 314-362-5743
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 2018036776
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2018036776
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License Number State | MO
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