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General NPI Number Information
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NPI Number | 1467983569
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Entity Type | Organization
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Legal Business Name | COLIN P BARBARO, D.D.S., P.L.L.C.
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 767 WEST ST
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City | PITTSBORO
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State | NC
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Zip | 27312-8822
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Country | US
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Telephone | 919-542-3502
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Fax |
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Provider Business Mailing Address
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Address Line | 13 LAFOY DR
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City | CLAYTON
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State | NC
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Zip | 27527-6653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COLIN PATRICK BARBARO
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Credential |
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Telephone | 910-391-2833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10251
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License Number State | NC
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