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General NPI Number Information
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NPI Number | 1508362476
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Entity Type | Individual
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Provider Name | DR. CARLA JO BARREIRO
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Gender | Female
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Dates
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Enumeration Date | 03/31/2018
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 3349 TATES CREEK RD
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City | LEXINGTON
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State | KY
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Zip | 40502-3467
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Country | US
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Telephone | 859-266-0413
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Fax | 859-266-6463
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Provider Business Mailing Address
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Address Line | 3349 TATES CREEK RD
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City | LEXINGTON
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State | KY
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Zip | 40502-3467
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Country | US
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Telephone | 859-266-0413
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Fax | 859-266-6463
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20041
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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