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General NPI Number Information
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NPI Number | 1609946748
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Entity Type | Organization
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Legal Business Name | ROBERT M. BARNETT, III, MD
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 721 GLENWOOD DR SUITE W460
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1106
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Country | US
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Telephone | 423-495-2600
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Fax | 423-495-7887
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Provider Business Mailing Address
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Address Line | 721 GLENWOOD DR SUITE W460
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1106
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Country | US
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Telephone | 423-495-2600
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Fax | 423-495-7887
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT BARNETT III
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Credential | MD
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Telephone | 423-495-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9989
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License Number State | TN
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