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NPI 1588296230

NPI 1588296230 : JOSEPH WILLIAM BARBAR DMD : SHELTON, CT

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General NPI Number Information
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    NPI Number           |    1588296230
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH WILLIAM BARBAR DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/11/2020
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    Last Update Date     |    08/13/2021
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Provider Practice Location Address
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    Address Line         |    534 SHELTON AVE 
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    City                 |    SHELTON
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    State                |    CT
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    Zip                  |    06484-2804
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    Country              |    US
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    Telephone            |    203-916-1173
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    534 SHELTON AVE 
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    City                 |    SHELTON
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    State                |    CT
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    Zip                  |    06484-2804
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    Country              |    US
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    Telephone            |    203-916-1173
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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        |    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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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    13069
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    License Number State |    CT
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