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General NPI Number Information
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NPI Number | 1477781284
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Entity Type | Individual
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Provider Name | MR. HEATH ANDREW BARKER
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Gender | Male
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 2045 SILVERTON RD NE
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City | SALEM
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State | OR
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Zip | 97301-0100
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Country | US
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Telephone | 503-588-5351
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N FLOWER ST
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City | SANTA ANA
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State | CA
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Zip | 92703-2361
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Country | US
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Telephone | 714-647-6033
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 615007
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 10031294
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License Number State | OR
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