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General NPI Number Information
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NPI Number | 1538666821
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Entity Type | Individual
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Provider Name | TONY CHRISTIANSON BARRIERE DDS
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Gender | Male
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 12301 WILSHIRE BLVD STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90025-1051
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Country | US
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Telephone | 310-481-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 WESTFALL DR
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City | ENCINO
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State | CA
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Zip | 91436-4154
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Country | US
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Telephone | 818-625-0736
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 104452
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License Number State | CA
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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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