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General NPI Number Information
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NPI Number | 1639240740
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Entity Type | Individual
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Provider Name | MIKKI BARKER D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/11/2006
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 225 WENDELL AVE SUITE B
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City | FAIRBANKS
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State | AK
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Zip | 99701-4835
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Country | US
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Telephone | 907-455-4135
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16167
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City | TWO RIVERS
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State | AK
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Zip | 99716-0167
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Country | US
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Telephone | 907-322-9053
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | AK3921
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A5488
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 006598
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 02002028A
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License Number State | IN
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