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General NPI Number Information
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NPI Number | 1366886210
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Entity Type | Organization
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Legal Business Name | BARTON PARKER, OD, PC
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 5970 S JOG RD SUITE D
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City | LAKE WORTH
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State | FL
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Zip | 33467-6590
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Country | US
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Telephone | 561-967-1888
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Fax | 561-967-1998
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Provider Business Mailing Address
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Address Line | 5970 S JOG RD SUITE D
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City | LAKE WORTH
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State | FL
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Zip | 33467-6590
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Country | US
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Telephone | 561-967-1888
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Fax | 561-967-1998
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARTON J PARKER
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Credential | OD
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Telephone | 561-967-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3148
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License Number State | FL
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