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General NPI Number Information
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NPI Number | 1447925193
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Entity Type | Organization
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Legal Business Name | JW BARKLINGTON ESQ LLC
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Dates
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Enumeration Date | 08/14/2021
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 12020 S WARNER ELLIOT LOOP STE 124
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City | PHOENIX
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State | AZ
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Zip | 85044-2717
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Country | US
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Telephone | 480-744-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 3834 E EQUESTRIAN TRL
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City | PHOENIX
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State | AZ
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Zip | 85044-3009
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Country | US
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Telephone | 480-744-1950
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Fax |
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | NADIA DRAKE
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Credential | MBA
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Telephone | 480-744-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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