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General NPI Number Information
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NPI Number | 1467647370
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Entity Type | Individual
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Provider Name | JOSE EMILIO BARRETO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 4201 NOLTE RD
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City | SAINT CLOUD
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State | FL
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Zip | 34772-7158
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Country | US
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Telephone | 872-231-3162
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Fax | 702-977-1496
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Provider Business Mailing Address
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Address Line | 13775 CHAUVIN AVE
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City | ORLANDO
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State | FL
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Zip | 32827-3821
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Country | US
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Telephone | 702-899-0595
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Fax | 702-977-1496
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 26,507-R
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME125192
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License Number State | FL
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