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General NPI Number Information
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NPI Number | 1396025540
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Entity Type | Individual
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Provider Name | DANIEL LAWRENCE BARRETT D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 1601 LAKESIDE DR
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City | RENO
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State | NV
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Zip | 89509-3464
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Country | US
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Telephone | 775-329-1855
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Fax | 775-324-4110
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Provider Business Mailing Address
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Address Line | 1601 LAKESIDE DR
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City | RENO
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State | NV
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Zip | 89509
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Country | US
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Telephone | 775-329-1855
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Fax | 775-324-4110
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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 | 6309
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 61313
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License Number State | CA
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