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General NPI Number Information
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NPI Number | 1417372228
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Entity Type | Individual
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Provider Name | MR. GREGORY BARRETT
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Gender | Male
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 3252 HOLIDAY CT STE 208
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City | LA JOLLA
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State | CA
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Zip | 92037-1808
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Country | US
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Telephone | 916-390-3228
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Fax |
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Provider Business Mailing Address
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Address Line | 3252 HOLIDAY CT STE 208
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City | LA JOLLA
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State | CA
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Zip | 92037-1808
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Country | US
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Telephone |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HT9070
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3107
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 0514
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 8299
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License Number State | AZ
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