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General NPI Number Information
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NPI Number | 1437189438
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Entity Type | Individual
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Provider Name | ALICE A. BARKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 915 GORDON AVE
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City | THOMASVILLE
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State | GA
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Zip | 31792-6614
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Country | US
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Telephone | 229-228-8800
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Fax | 229-228-8892
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Provider Business Mailing Address
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Address Line | 920 CAIRO RD
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City | THOMASVILLE
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State | GA
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Zip | 31792-4255
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Country | US
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Telephone | 229-228-8800
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Fax | 229-228-8892
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 055089
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 30075
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License Number State | SC
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