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General NPI Number Information
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NPI Number | 1457880098
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Entity Type | Individual
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Provider Name | ANTONY WILLIAM BARBER
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Gender | Male
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 06/07/2017
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Provider Practice Location Address
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Address Line | 6132 W CREEK RD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2130
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Country | US
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Telephone | 216-524-8481
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Fax |
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Provider Business Mailing Address
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Address Line | 2197 MURRAY HILL RD APT 2
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-801-6240
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30025114
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License Number State | OH
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