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General NPI Number Information
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NPI Number | 1518152206
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Entity Type | Individual
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Provider Name | DARRELL FAUBERT BARKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 300 EAST HOSPITAL ROAD
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-836-9829
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Fax |
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Provider Business Mailing Address
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Address Line | 300 EAST HOSPITAL ROAD
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-836-9829
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 78715
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 59598
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 59598
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License Number State | GA
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