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General NPI Number Information
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NPI Number | 1376750166
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Entity Type | Individual
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Provider Name | THOMAS S BARKER I D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 271 E SOUTHLAKE BLVD STE 150
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6272
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Country | US
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Telephone | 817-421-2437
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Fax | 817-251-1467
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Provider Business Mailing Address
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Address Line | 4823 HOVENKAMP DR
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City | DALLAS
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State | TX
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Zip | 75227-2837
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Country | US
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Telephone | 972-603-8792
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Fax | 817-251-1467
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22731
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License Number State | TX
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