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General NPI Number Information
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NPI Number | 1427684125
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Entity Type | Individual
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Provider Name | NATHANIEL BENJAMIN BARRIENTEZ DC
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Gender | Male
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Dates
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Enumeration Date | 03/14/2020
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Last Update Date | 03/14/2020
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Provider Practice Location Address
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Address Line | 12101 BEE CAVES RD STE 5B
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City | BEE CAVE
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State | TX
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Zip | 78738-6464
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Country | US
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Telephone | 512-297-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 23806 CARINA CYN
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City | SAN ANTONIO
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State | TX
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Zip | 78255-2416
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Country | US
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Telephone | 210-896-6554
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14391
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License Number State | TX
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