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General NPI Number Information
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NPI Number | 1386435972
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Entity Type | Individual
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Provider Name | ANDRIA MARIE BARRAGAN NP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2160 S 1ST AVE
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City | MAYWOOD
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State | IL
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Zip | 60153-3328
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Country | US
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Telephone | 888-584-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 3327 RIMROCK RD
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City | BILLINGS
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State | MT
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Zip | 59102-0324
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Country | US
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Telephone | 314-540-4579
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN-261279
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209032641
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License Number State | IL
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