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General NPI Number Information
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NPI Number | 1417115304
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Entity Type | Individual
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Provider Name | CHANNING RACHEL BARNETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7100 W CAMINO REAL STE 301
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 561-717-2277
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Fax | 561-948-5915
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Provider Business Mailing Address
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Address Line | 7100 W CAMINO REAL STE 301
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 561-717-2277
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Fax | 561-300-8930
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 236784
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME117987
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License Number State | FL
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