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General NPI Number Information
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NPI Number | 1558224501
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Entity Type | Individual
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Provider Name | BARRETT PHIFER RN
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Gender | Male
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 9836 W ROSS AVE
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City | PEORIA
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State | AZ
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Zip | 85382-5101
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Country | US
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Telephone | 904-923-5042
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Fax |
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Provider Business Mailing Address
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Address Line | 9836 W ROSS AVE
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City | PEORIA
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State | AZ
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Zip | 85382-5101
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Country | US
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Telephone | 904-923-5042
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | PMD521079
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WF0300X
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Taxonomy Name | Flight Registered Nurse
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License Number | RN9287797
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9287797
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License Number State | FL
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