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General NPI Number Information
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NPI Number | 1427902188
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Entity Type | Individual
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Provider Name | BENJAMIN KENNETH BARKER
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Gender | Male
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 770 E 1ST ST STE B
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City | WEISER
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State | ID
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Zip | 83672-1016
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Country | US
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Telephone | 208-718-0827
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Fax |
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Provider Business Mailing Address
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Address Line | 234 W 765 S
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City | OREM
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State | UT
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Zip | 84058-6170
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Country | US
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Telephone | 435-253-1040
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 9871794
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License Number State | ID
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