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General NPI Number Information
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NPI Number | 1598753402
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Entity Type | Individual
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Provider Name | SHEILA MARIE BARNETT RDH, DC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 2775 MIRACLE MILE STE 1
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-3719
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Country | US
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Telephone | 928-758-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 MIRACLE MILE
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-3718
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Country | US
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Telephone | 928-758-4101
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X009042
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 018540
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8576
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License Number State | AZ
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