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General NPI Number Information
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NPI Number | 1437388113
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Entity Type | Organization
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Legal Business Name | BARNWELL EYE CENTER
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 08/04/2009
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Provider Practice Location Address
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Address Line | 30 FULDNER RD
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City | BARNWELL
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State | SC
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Zip | 29812-7319
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Country | US
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Telephone | 803-259-5155
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Fax | 803-259-0785
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Provider Business Mailing Address
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Address Line | 30 FULDNER RD
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City | BARNWELL
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State | SC
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Zip | 29812-7319
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Country | US
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Telephone | 803-259-5155
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Fax | 803-259-0785
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BOB HERBERT BARRETT
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Credential | OD
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Telephone | 803-259-5155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 649
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License Number State | SC
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