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General NPI Number Information
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NPI Number | 1578891867
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Entity Type | Organization
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Legal Business Name | DR. RODNEY BARRON MEDICAL CLINIC, INC.
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 1211 N VERMONT AVE SUITE 205
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City | LOS ANGELES
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State | CA
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Zip | 90029-1748
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Country | US
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Telephone | 323-664-4114
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Fax | 323-664-4044
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Provider Business Mailing Address
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Address Line | 1211 N VERMONT AVE SUITE 205
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City | LOS ANGELES
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State | CA
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Zip | 90029-1748
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Country | US
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Telephone | 323-664-4114
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Fax | 323-664-4144
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RODNEY STEPHEN BARRON
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Credential | M.D.
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Telephone | 323-664-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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