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General NPI Number Information
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NPI Number | 1437208907
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Entity Type | Individual
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Provider Name | JOHN R BARBER II L.AC.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 12/09/2017
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Provider Practice Location Address
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Address Line | 12655 W WASHINGTON BLVD SUITE 201
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City | LOS ANGELES
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State | CA
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Zip | 90066-2307
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Country | US
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Telephone | 310-963-1052
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Fax | 310-398-5097
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Provider Business Mailing Address
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Address Line | PO BOX 7459
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City | SANTA MONICA
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State | CA
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Zip | 90406-7459
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Country | US
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Telephone | 310-259-0713
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 9741
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License Number State | CA
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