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General NPI Number Information
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NPI Number | 1447297080
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Entity Type | Individual
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Provider Name | TROY ALLEN BARRY PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD UNIT 443
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City | HOUSTON
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State | TX
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Zip | 77030-4009
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Country | US
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Telephone | 713-794-1247
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Fax |
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Provider Business Mailing Address
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Address Line | 2847 S CEDAR HOLLOW DR
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City | PEARLAND
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State | TX
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Zip | 77584-8157
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Country | US
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Telephone | 713-436-0903
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA01503
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License Number State | TX
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