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General NPI Number Information
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NPI Number | 1518180702
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Entity Type | Individual
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Provider Name | SARA ELIZABETH BARNES M.S, P.A.-C.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 229 W 7TH ST
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City | SAN JACINTO
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State | CA
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Zip | 92583-4662
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Country | US
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Telephone | 951-487-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 815 W CYPRESS AVE
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City | REDLANDS
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State | CA
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Zip | 92373-5850
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Country | US
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Telephone | 909-954-3140
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 18796
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License Number State | CA
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