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General NPI Number Information
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NPI Number | 1427428499
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Entity Type | Organization
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Legal Business Name | BARRETT MEDICAL CONSULTNG, PA
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 16601 N 40TH ST SUITE 110
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City | PHOENIX
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State | AZ
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Zip | 85032-3345
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Country | US
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Telephone | 480-478-0780
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Fax |
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Provider Business Mailing Address
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Address Line | 16601 N 40TH ST SUITE 110
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City | PHOENIX
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State | AZ
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Zip | 85032-3345
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Country | US
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Telephone | 480-478-0780
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Fax |
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Authorized Official
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Title or Position | PATIENT CARE COORDINATOR
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Name | JESSICA ORTIZ
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Credential |
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Telephone | 480-478-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0557
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License Number State | AZ
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