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General NPI Number Information
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NPI Number | 1609597335
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Entity Type | Organization
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Legal Business Name | BARRIO HEALTHCARE, LLC
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/30/2023
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Provider Practice Location Address
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Address Line | 3112 N COUNTRY CLUB RD
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City | TUCSON
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State | AZ
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Zip | 85716-1613
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Country | US
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Telephone | 520-869-3565
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Fax | 833-471-2668
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Provider Business Mailing Address
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Address Line | 3112 N COUNTRY CLUB RD
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City | TUCSON
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State | AZ
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Zip | 85716-1613
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Country | US
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Telephone | 520-869-3565
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Fax | 405-297-4928
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ANGELICA MARIA HIBBS
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Credential | FNP
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Telephone | 520-869-3565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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