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General NPI Number Information
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NPI Number | 1386676062
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Entity Type | Individual
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Provider Name | JOHN R BARKMEIER MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 2005 MIDWAY RD
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City | MENASHA
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State | WI
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Zip | 54952-7002
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Country | US
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Telephone | 920-832-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8003
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City | APPLETON
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State | WI
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Zip | 54912-8003
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Country | US
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Telephone | 920-996-3298
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 21606-020
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License Number State | WI
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