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General NPI Number Information
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NPI Number | 1578201737
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Entity Type | Individual
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Provider Name | MICHAEL DENIS BARNES JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 532 W PITTSBURGH ST
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City | GREENSBURG
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State | PA
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Zip | 15601-2239
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Country | US
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Telephone | 724-850-3120
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Fax |
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Provider Business Mailing Address
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Address Line | 890 CENTER ST
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City | MCKEESPORT
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State | PA
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Zip | 15132-6600
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Country | US
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Telephone | 412-328-7284
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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 |
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License Number State |
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