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General NPI Number Information
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NPI Number | 1568488997
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Entity Type | Organization
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Legal Business Name | YVONNE BARRY MD LTD
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 7398 SMOKE RANCH RD #210
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City | LAS VEGAS
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State | NV
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Zip | 89128-0256
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Country | US
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Telephone | 702-924-7006
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Fax | 702-924-7080
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Provider Business Mailing Address
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Address Line | 1930 VILLAGE CENTER CIR #3-862
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City | LAS VEGAS
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State | NV
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Zip | 89134-6238
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Country | US
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Telephone | 702-924-7006
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Fax | 702-924-7080
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Authorized Official
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Title or Position | PRESIDENT
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Name | YVONNE A BARRY
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Credential | MD
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Telephone | 702-924-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7600
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License Number State | NV
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