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General NPI Number Information
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NPI Number | 1417007964
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Entity Type | Organization
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Legal Business Name | STEVEN BARNETT, MD FAMILY PRACTICE
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12067 SPURGEON RD
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City | LYNNVILLE
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State | IN
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Zip | 47619-8015
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Country | US
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Telephone | 812-922-5568
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Fax | 812-922-5560
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | LYNNVILLE
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State | IN
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Zip | 47619-0040
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Country | US
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Telephone | 812-922-5568
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Fax | 812-922-5560
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEVEN C. BARNETT II
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Credential | M.D.
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Telephone | 812-922-5568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01037697
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License Number State | IN
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